Healthcare Provider Details

I. General information

NPI: 1659485720
Provider Name (Legal Business Name): MARGARET A. DALY, MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3506 21ST ST SUITE 301
LUBBOCK TX
79410-1212
US

IV. Provider business mailing address

5815 82ND ST STE 145 PMB # 143
LUBBOCK TX
79424-3646
US

V. Phone/Fax

Practice location:
  • Phone: 806-797-2924
  • Fax: 806-797-2393
Mailing address:
  • Phone: 806-797-2924
  • Fax: 806-797-2393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARGARET ANDERSON DALY
Title or Position: DIRECTOR
Credential: M.D.
Phone: 806-771-1166