Mcdaniel, Jeffrey Michael

Mcdaniel, Jeffrey Michael is an individual health care provider with primary practice located at 979 Don Floyd Dr Ste 124 , Midlothian TX 76065-6289. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mcdaniel, Jeffrey Michael can be contacted via phone (972) 775-4132.

Contact Information

Primary practice address
979 Don Floyd Dr Ste 124 Midlothian TX 76065-6289
Phone: (972) 775-4132
Fax: (972) 775-4620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X N5855 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X N5855 Texas

Profile Details

NPI number 1366576282
LBN Legal business name Mcdaniel, Jeffrey Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Apr 20th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366576282 NPPES
Texas Other 8X0098 BLUE CROSS AND BLUE SHIELD OF TEXAS
Texas MEDICAID 217145602 BLUE CROSS AND BLUE SHIELD OF TEXAS

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