Brudnak, Daniel Michael

Brudnak, Daniel Michael is an sole proprietor health care provider with primary practice located at 115 S Kent St , Gorman TX 76454-3060. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brudnak, Daniel Michael can be contacted via phone (254) 734-4254.

Contact Information

Primary practice address
115 S Kent St Gorman TX 76454-3060
Phone: (254) 734-4254
Fax: (254) 734-4355
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X J1894 Texas

Profile Details

NPI number 1396704136
LBN Legal business name Brudnak, Daniel Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2006
Last updated May 30th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396704136 NPPES
Other 0041CW BLUE CROSS
MEDICAID 1365785-03 BLUE CROSS

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