MEDICARE: HERBERT BRUCE DANIELS III 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
1	207Q00000X	Family Medicine Physician	F9345	TX
2	208M00000X	Hospitalist Physician	F9345	TX

General Provider Information

NPI Number	:	1841266731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HERBERT BRUCE DANIELS III MD

Provider Business Mailing Address
First Line	:	907 THURMAN ST
Second Line	:
City	:	CLEBURNE
State	:	TX
Zip	:	76033-5933
Country	:	US
Telephone Number	:	817-641-4558
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 WALLS DR
Second Line	:
City	:	CLEBURNE
State	:	TX
Zip	:	76033-4008
Country	:	US
Telephone Number	:	817-556-5587
Fax Number	:	817-556-5599

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	09/11/2025

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