Provider Demographics
NPI:1588315402
Name:DANIELS INTERNAL MEDICINE PLLC
Entity type:Organization
Organization Name:DANIELS INTERNAL MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-777-9677
Mailing Address - Street 1:1850 W LAKE HOUSTON PKWY STE 150
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-5239
Mailing Address - Country:US
Mailing Address - Phone:832-777-9677
Mailing Address - Fax:281-361-5792
Practice Address - Street 1:1850 W LAKE HOUSTON PKWY STE 150
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-5239
Practice Address - Country:US
Practice Address - Phone:832-777-9677
Practice Address - Fax:281-361-5792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty