Basic Information
Provider Information
NPI: 1225066434
EntityType: 2
ReplacementNPI:  
OrganizationName: DARYL C CURRIER MD PA
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: STOCKDALE FAMILY MEDICAL CENTER
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 98
Address2:  
City: STOCKDALE
State: TX
PostalCode: 781600098
CountryCode: US
TelephoneNumber: 8309963701
FaxNumber: 8309963749
Practice Location
Address1: 601 PERSON STREET
Address2:  
City: STOCKDALE
State: TX
PostalCode: 781600098
CountryCode: US
TelephoneNumber: 8309963701
FaxNumber: 8309963749
Other Information
ProviderEnumerationDate: 06/28/2006
LastUpdateDate: 10/24/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: CURRIER
AuthorizedOfficialFirstName: DARYL
AuthorizedOfficialMiddleName: C
AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 8309963701
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate: 10/24/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XE6298TXN193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansFamily Medicine 
261QP2300X  N Ambulatory Health Care FacilitiesClinic/CenterPrimary Care
261QR1300X  Y Ambulatory Health Care FacilitiesClinic/CenterRural Health

No ID Information.


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