Theesfeld, Daniel R

Theesfeld, Daniel R is an individual health care provider with primary practice located at 3217 4Th St , Longview TX 75605-5145. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Theesfeld, Daniel R can be contacted via phone (903) 753-7333.

Contact Information

Primary practice address
3217 4Th St Longview TX 75605-5145
Phone: (903) 753-7333
Fax: (903) 753-4849
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X J3712 Texas
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X J3712 Texas

Profile Details

NPI number 1639120298
LBN Legal business name Theesfeld, Daniel R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jul 21st, 2022 - about 4 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 1639120298 NPPES
Texas Other 0046KA BLUE CROSS ID

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