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NPI Code Detail

MEDICARE: DANIEL KILLEEN M.D.

MEDICARE: DANIEL KILLEEN M.D.
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
1207Y00000XOtolaryngology PhysicianV1514TX
2207YX0901XOtology & Neurotology PhysicianV1514TX

General Provider Information

NPI Number : 1609286871
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL KILLEEN M.D.
Provider Business Mailing Address
First Line : 5323 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75390-7201
Country : US
Telephone Number : 214-645-0355
Fax Number : 214-645-0078
Provider Business Practice Location Address
First Line : 2001 INWOOD RD FL 4
Second Line :
City : DALLAS
State : TX
Zip : 75390-7202
Country : US
Telephone Number : 214-645-8765
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2014
Last Update Date : 02/06/2025

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