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NPI Code Detail

MEDICARE: CHRISTOPHER DANIELE MD

MEDICARE: CHRISTOPHER DANIELE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207LC0200XCritical Care Medicine (Anesthesiology) Physician036.164731IL
2207L00000XAnesthesiology PhysicianV2051TX

General Provider Information

NPI Number : 1689195810
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER DANIELE MD
Provider Business Mailing Address
First Line : 3601 4TH STREET TTUHSC DEPARTMENT OF ANESTHESIOLOGY
Second Line :
City : LUBBOCK
State : TX
Zip : 79430-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6720 BERTNER AVE STE O-520
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2604
Country : US
Telephone Number : 832-355-2666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2017
Last Update Date : 06/18/2026

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Directions to “ CHRISTOPHER DANIELE MD” Practice Location

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