Provider Demographics
NPI:1215936695
Name:MYINT, DANIEL T (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:T
Last Name:MYINT
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2097 N COLLINS BLVD
Mailing Address - Street 2:#198
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-2691
Mailing Address - Country:US
Mailing Address - Phone:972-680-9983
Mailing Address - Fax:972-680-9163
Practice Address - Street 1:2097 N COLLINS BLVD
Practice Address - Street 2:#198
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-2691
Practice Address - Country:US
Practice Address - Phone:972-680-9983
Practice Address - Fax:972-680-9163
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-19
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
TX48550208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
G78807Medicare UPIN