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NPI Code Detail

MEDICARE: DR. DANIEL R COPELAND M.D.

MEDICARE: DR. DANIEL R COPELAND 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
1208600000XSurgery Physician390200000XAR
22086S0129XVascular Surgery PhysicianP5352TX
32086S0127XTrauma Surgery PhysicianP5352TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1304433YT4FOTHERTXMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
38DV506OTHERTXBLUE CROSS

General Provider Information

NPI Number : 1942414982
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL R COPELAND M.D.
Provider Business Mailing Address
First Line : 2405 W MISSOURI AVE
Second Line :
City : MIDLAND
State : TX
Zip : 79701-6800
Country : US
Telephone Number : 432-697-1061
Fax Number : 432-697-7089
Provider Business Practice Location Address
First Line : 2405 W MISSOURI AVE
Second Line :
City : MIDLAND
State : TX
Zip : 79701-6800
Country : US
Telephone Number : 432-697-1061
Fax Number : 432-697-7089
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2007
Last Update Date : 04/15/2015

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