Healthcare Provider Details

I. General information

NPI: 1982834784
Provider Name (Legal Business Name): DANIEL EUGENE SQUYRES DNP, APRN, FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2009
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3002 SAM HOUSTON DR
VICTORIA TX
77904-2682
US

IV. Provider business mailing address

463 RICE RD
YOAKUM TX
77995-6502
US

V. Phone/Fax

Practice location:
  • Phone: 361-578-5730
  • Fax:
Mailing address:
  • Phone: 361-208-3793
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number78849
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number116027
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP118008
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number326387
License Number StateAZ
# 5
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number118008
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: