Basic Information
| Provider Information | |||||||||
| NPI: | 1750980587 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JOSEPH DANIELS, DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4441 BRYANT IRVIN RD N | ||||||||
| Address2: | |||||||||
| City: | FT WORTH | ||||||||
| State: | TX | ||||||||
| PostalCode: | 761077338 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8177319400 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4441 BRYANT IRVIN RD N | ||||||||
| Address2: | |||||||||
| City: | FT WORTH | ||||||||
| State: | TX | ||||||||
| PostalCode: | 761077338 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8177319400 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/22/2020 | ||||||||
| LastUpdateDate: | 10/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | DANIELS | ||||||||
| AuthorizedOfficialFirstName: | JOSEPH | ||||||||
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| AuthorizedOfficialTitleorPosition: | PHYSICIAN | ||||||||
| AuthorizedOfficialTelephone: | 8177319400 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | DO | ||||||||
| NPICertificationDate: | 10/22/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.