MEDICARE: AMY DANIEL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WC0200X	Critical Care Medicine Registered Nurse	1024270	TX

General Provider Information

NPI Number	:	1295666279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY DANIEL

Provider Business Mailing Address
First Line	:	204 CHAMPIONS ROW
Second Line	:
City	:	VICTORIA
State	:	TX
Zip	:	77904-3313
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	204 CHAMPIONS ROW
Second Line	:
City	:	VICTORIA
State	:	TX
Zip	:	77904-3313
Country	:	US
Telephone Number	:	361-676-9538
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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Directions to “ AMY DANIEL ” Practice Location

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