Healthcare Provider Details

I. General information

NPI: 1437387800
Provider Name (Legal Business Name): DANIELLE C BEACHLER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE A CORRIGAN MD

II. Dates (important events)

Enumeration Date: 06/24/2009
Last Update Date: 08/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4112 LINKS LN SUITE 200
ROUND ROCK TX
78664-3901
US

IV. Provider business mailing address

11111 RESEARCH BLVD SUITE 300
AUSTIN TX
78759-5264
US

V. Phone/Fax

Practice location:
  • Phone: 512-380-9200
  • Fax: 512-380-9201
Mailing address:
  • Phone: 512-380-9200
  • Fax: 512-380-9201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License NumberQ2755
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: