MEDICARE: ANTHONY DANIELS

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	163WP0200X	Pediatric Registered Nurse	868607	TX
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1225237	TX

General Provider Information

NPI Number	:	1801378500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY DANIELS

Provider Business Mailing Address
First Line	:	512 PEANUT DR
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76502-5300
Country	:	US
Telephone Number	:	254-931-3261
Fax Number	:

Provider Business Practice Location Address
First Line	:	512 PEANUT DR
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76502-5300
Country	:	US
Telephone Number	:	254-931-3261
Fax Number	:

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

Provider Enumeration Date	:	08/30/2018
Last Update Date	:	03/16/2026

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Directions to “ ANTHONY DANIELS ” Practice Location

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