Provider Demographics
NPI:1336258847
Name:FREELAND, DANIEL V (DO)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:V
Last Name:FREELAND
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 RANCH ROAD 620 S STE 200
Mailing Address - Street 2:
Mailing Address - City:LAKEWAY
Mailing Address - State:TX
Mailing Address - Zip Code:78734-5633
Mailing Address - Country:US
Mailing Address - Phone:512-263-9072
Mailing Address - Fax:512-402-9057
Practice Address - Street 1:1008 RANCH ROAD 620 S STE 200
Practice Address - Street 2:
Practice Address - City:LAKEWAY
Practice Address - State:TX
Practice Address - Zip Code:78734-5633
Practice Address - Country:US
Practice Address - Phone:512-263-9072
Practice Address - Fax:512-402-9057
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH9590207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8BF004OtherBCBS
TX0052NWOtherBCBS
TX0052NWOtherBCBS
TX8BF004OtherBCBS