MEDICARE: DR. DANIEL BRYAN HARRELL DO

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	207P00000X	Emergency Medicine Physician	N0081	TX

General Provider Information

NPI Number	:	1477717205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL BRYAN HARRELL DO

Provider Business Mailing Address
First Line	:	2314 DIAMOND SPRINGS DR
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-7871
Country	:	US
Telephone Number	:	817-992-8729
Fax Number	:

Provider Business Practice Location Address
First Line	:	2314 DIAMOND SPRINGS DR
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-7871
Country	:	US
Telephone Number	:	817-992-8729
Fax Number	:

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

Provider Enumeration Date	:	07/10/2008
Last Update Date	:	07/10/2008

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