Healthcare Provider Details

I. General information

NPI: 1134118045
Provider Name (Legal Business Name): DANIEL M SYKES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2005
Last Update Date: 08/13/2020
Certification Date: 08/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 ST JOSEPH PKWY #302
HOUSTON TX
77002-8233
US

IV. Provider business mailing address

804 SCOTT NIXON MEMORIAL DR
AUGUSTA GA
30907-2464
US

V. Phone/Fax

Practice location:
  • Phone: 713-659-3284
  • Fax:
Mailing address:
  • Phone: 713-659-3284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberK5011
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: