Provider Demographics
NPI:1588899520
Name:ALEXANDER GILMAN, DANIELLE CHRISTINE (IDMT)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:CHRISTINE
Last Name:ALEXANDER GILMAN
Suffix:
Gender:F
Credentials:IDMT
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5110 RYAN CIR N
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-5925
Mailing Address - Country:US
Mailing Address - Phone:281-740-4973
Mailing Address - Fax:
Practice Address - Street 1:697 LOUISIANA DRIVE
Practice Address - Street 2:DYESS AFB
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79607
Practice Address - Country:US
Practice Address - Phone:915-461-5490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-20
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1003XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Medical Technicians