Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | D0054165 | MD |
NPI | 1033346630 |
---|---|
Provider Name | Ingela Liz Helen Danielsson-Sanden |
First Address | Dallas, TX 75284-3204 |
Second Address | Mcallen, TX 78503-3045 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2009 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3520876-01 | (05) | TX |