Healthcare Provider Details

I. General information

NPI: 1568581197
Provider Name (Legal Business Name): DANIEL J PASQUIER P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 11/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17325 BELL NORTH DR SUITE 2A
SCHERTZ TX
78154-3368
US

IV. Provider business mailing address

17325 BELL NORTH DR SUITE 2A
SCHERTZ TX
78154-3368
US

V. Phone/Fax

Practice location:
  • Phone: 210-495-8788
  • Fax: 210-495-8212
Mailing address:
  • Phone: 210-495-8788
  • Fax: 210-495-8212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1071934
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: