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NPI Code Detail

MEDICARE: MR. DANIEL GEORGE MERCHANT LPC

MEDICARE: MR. DANIEL GEORGE MERCHANT LPC
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
1101YP2500XProfessional Counselor66408TX

General Provider Information

NPI Number : 1992015242
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DANIEL GEORGE MERCHANT LPC
Provider Business Mailing Address
First Line : 6200 HULEN BEND LN APT 107
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-3147
Country : US
Telephone Number : 682-432-5203
Fax Number :
Provider Business Practice Location Address
First Line : 3807 E LANCASTER AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76103-3522
Country : US
Telephone Number : 817-413-9463
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2010
Last Update Date : 10/19/2010

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Directions to “ MR. DANIEL GEORGE MERCHANT LPC” Practice Location

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