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NPI Code Detail

MEDICARE: DANIEL MAXWELL M.D.

MEDICARE: DANIEL MAXWELL 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
1390200000XStudent in an Organized Health Care Education/Training Program
2207RC0200XCritical Care Medicine (Internal Medicine) PhysicianQ5032TX
3207RI0200XInfectious Disease PhysicianQ5032TX
4207R00000XInternal Medicine PhysicianQ5032TX

General Provider Information

NPI Number : 1679917124
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL MAXWELL M.D.
Provider Business Mailing Address
First Line : 4500 S LANCASTER RD
Second Line :
City : DALLAS
State : TX
Zip : 75216-7167
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4500 S LANCASTER RD
Second Line :
City : DALLAS
State : TX
Zip : 75216-7167
Country : US
Telephone Number : 214-857-1541
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2013
Last Update Date : 02/26/2026

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