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NPI Code Detail

MEDICARE: MR. BERNARD LOUIS DANNA JR. DPM

MEDICARE: MR. BERNARD LOUIS DANNA JR. DPM
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
1213E00000XPodiatristTX0527TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
200T559OTHERTXBCBS

General Provider Information

NPI Number : 1912904608
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BERNARD LOUIS DANNA JR. DPM
Provider Business Mailing Address
First Line : 7575 SAN FELIPE ST
Second Line : 301
City : HOUSTON
State : TX
Zip : 77063-1711
Country : US
Telephone Number : 713-974-4511
Fax Number : 713-974-4501
Provider Business Practice Location Address
First Line : 7575 SAN FELIPE ST
Second Line : 301
City : HOUSTON
State : TX
Zip : 77063-1711
Country : US
Telephone Number : 713-974-4511
Fax Number : 713-974-4501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 12/19/2013

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Directions to “ MR. BERNARD LOUIS DANNA JR. DPM” Practice Location

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