Provider Demographics
NPI:1306835913
Name:RICONDA, DANIEL L (MS, CGC)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:L
Last Name:RICONDA
Suffix:
Gender:M
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2900 N BRAESWOOD BLVD
Mailing Address - Street 2:APT # 4206
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-2329
Mailing Address - Country:US
Mailing Address - Phone:713-798-4569
Mailing Address - Fax:832-787-0073
Practice Address - Street 1:2900 N BRAESWOOD BLVD
Practice Address - Street 2:APT # 4206
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-2329
Practice Address - Country:US
Practice Address - Phone:713-798-4569
Practice Address - Fax:832-787-0073
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS