Basic Information
Provider Information
NPI: 1659396539
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHEURICH
FirstName: DANIEL
MiddleName: REGAN
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3409 WORTH ST STE 710
Address2:  
City: DALLAS
State: TX
PostalCode: 752462060
CountryCode: US
TelephoneNumber: 2148232533
FaxNumber: 2148248679
Practice Location
Address1: 3409 WORTH ST STE 710
Address2:  
City: DALLAS
State: TX
PostalCode: 752462060
CountryCode: US
TelephoneNumber: 2148232533
FaxNumber: 2148248679
Other Information
ProviderEnumerationDate: 07/13/2006
LastUpdateDate: 08/06/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/06/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200X2005031081MON Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
208M00000X2005031081MON Allopathic & Osteopathic PhysiciansHospitalist 
208M00000X28041OKN Allopathic & Osteopathic PhysiciansHospitalist 
207RI0200X28041OKN Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
207RI0200XN4072TXY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


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