Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 1317216 | TX |
NPI | 1003982422 |
---|---|
Provider Name | Daniel Alan Craine |
First Address | The Woodlands, TX 77380-3255 |
Second Address | The Woodlands, TX 77380-3255 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2006 |
Last Update Date | 23/07/2019 |