Daniels, Gayle
Daniels, Gayle is an individual health care provider with primary practice located at 2440 Jacksboro Hwy , Fort Worth TX 76114-2201. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Daniels, Gayle can be contacted via phone (817) 626-3721.Contact Information
Primary practice address
2440 Jacksboro Hwy
Fort Worth TX 76114-2201
Phone: (817) 626-3721
Fax: (817) 626-2006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5343T | Texas |
Profile Details
| NPI number | 1447252374 |
|---|---|
| LBN Legal business name | Daniels, Gayle |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Aug 9th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447252374 | NPPES |
| Texas | MEDICAID | 019440901 |
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