Healthcare Provider Details

I. General information

NPI: 1053508408
Provider Name (Legal Business Name): DANIEL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2007
Last Update Date: 10/21/2020
Certification Date: 10/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5326 OAK STREET
SAINT FRANCISVILLE LA
70775-0487
US

IV. Provider business mailing address

PO BOX 487 5326 OAK STREET
SAINT FRANCISVILLE LA
70775-0487
US

V. Phone/Fax

Practice location:
  • Phone: 225-635-5848
  • Fax:
Mailing address:
  • Phone: 225-635-5848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CHAILLIE PERCY DANIEL
Title or Position: OWNER
Credential: M.D.
Phone: 225-635-5848