O'Dwyer, Darla Daniel

O'Dwyer, Darla Daniel is an sole proprietor health care provider with primary practice located at 2606 N Pecan St , Nacogdoches TX 75965-3546. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Pediatric, Dietary & Nutritional Service Providers / Nutrition, Metabolic. Dietary & Nutritional Service Providers / Nutrition, Metabolic is her primary health care specialty. O'Dwyer, Darla Daniel can be contacted via phone (936) 552-9901.

Contact Information

Primary practice address
2606 N Pecan St Nacogdoches TX 75965-3546
Phone: (936) 552-9901
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X DT05074 Texas
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X DT05074 Texas

Profile Details

NPI number 1447475298
LBN Legal business name O'Dwyer, Darla Daniel
Credentials DT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2007
Last updated Aug 13th, 2014 - about 11 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 1447475298 NPPES
Texas MEDICAID 182303101

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