Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YS0123X | Facial Plastic Surgeon | 2006001525 | MO |
Y | 207YS0123X | Facial Plastic Surgeon | L8996 | TX |
NPI | 1194720201 |
---|---|
Provider Name | Dr. Daniel Joseph Verret |
First Address | Plano, TX 75024-2710 |
Second Address | Plano, TX 75024-2710 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2005 |
Last Update Date | 22/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I41594 | (02) | TX |