Provider Demographics
NPI:1194720201
Name:VERRET, DANIEL JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:JOSEPH
Last Name:VERRET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6545 PRESTON RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-2710
Mailing Address - Country:US
Mailing Address - Phone:972-608-0100
Mailing Address - Fax:972-473-7828
Practice Address - Street 1:6545 PRESTON RD
Practice Address - Street 2:SUITE 200
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-2710
Practice Address - Country:US
Practice Address - Phone:972-608-0100
Practice Address - Fax:972-473-7828
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-15
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2006001525207YS0123X
TXL8996207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI41594Medicare UPIN