Healthcare Provider Details

I. General information

NPI: 1720776222
Provider Name (Legal Business Name): DANIELLE RAYEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2023
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10507 QUAKER AVE
LUBBOCK TX
79424-8442
US

IV. Provider business mailing address

2215 NASHVILLE AVE
LUBBOCK TX
79410-1105
US

V. Phone/Fax

Practice location:
  • Phone: 806-725-9515
  • Fax: 806-725-9516
Mailing address:
  • Phone: 806-725-5228
  • Fax: 806-723-6532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberW7425
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: