Healthcare Provider Details

I. General information

NPI: 1720032477
Provider Name (Legal Business Name): DANIEL AARON WORREL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 05/04/2020
Certification Date: 05/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9301 N CENTRAL EXPY STE 500
DALLAS TX
75231-0805
US

IV. Provider business mailing address

9301 N CENTRAL EXPY STE 400
DALLAS TX
75231-0805
US

V. Phone/Fax

Practice location:
  • Phone: 214-220-2468
  • Fax: 214-720-1982
Mailing address:
  • Phone: 214-220-2468
  • Fax: 214-720-1982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberL8560
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberL8560
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: