Healthcare Provider Details

I. General information

NPI: 1891463964
Provider Name (Legal Business Name): DANIEL O'NEILL DNP, ACNPC-AG, FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2021
Last Update Date: 07/11/2025
Certification Date: 06/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 E MILAM ST
MEXIA TX
76667-2329
US

IV. Provider business mailing address

401 E MILIAN ST
MEXIA TX
76667
US

V. Phone/Fax

Practice location:
  • Phone: 254-562-2500
  • Fax:
Mailing address:
  • Phone: 254-562-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number1033881
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1033881
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: