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General NPI Number Information
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NPI Number | 1831304104
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Entity Type | Individual
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Provider Name | DANIEL THOMAS HALLORAN DPM
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Gender | Male
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 03/12/2020
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Provider Practice Location Address
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Address Line | 1401 MEDICAL PKWY STE 220
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City | CEDAR PARK
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State | TX
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Zip | 78613-5013
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Country | US
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Telephone | 512-260-1581
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Fax | 512-406-7309
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Provider Business Mailing Address
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Address Line | 6210 E HIGHWAY 290 STE 420
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City | AUSTIN
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State | TX
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Zip | 78723-1142
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Country | US
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Telephone | 512-483-9569
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Fax | 512-406-6216
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 1819
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License Number State | TX
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