Provider Demographics
NPI:1285752931
Name:MCDANIEL, DONALD MARC (DC)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:MARC
Last Name:MCDANIEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:612 W NOLANA AVE
Mailing Address - Street 2:STE. 420
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3026
Mailing Address - Country:US
Mailing Address - Phone:956-627-0776
Mailing Address - Fax:956-627-1099
Practice Address - Street 1:612 W NOLANA AVE
Practice Address - Street 2:STE. 420
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3026
Practice Address - Country:US
Practice Address - Phone:956-627-0776
Practice Address - Fax:956-627-1099
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2013-11-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX5468111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU02279Medicare UPIN