Lacey A Mcdaniel, PA-C

NPI #1013104710 in Fort Worth, Texas

Provider Information

NPI Number: 1013104710
Entity Type: Individual
Name: Lacey A Mcdaniel, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 27, 2007
Last Updated: Feb 28, 2011

Practice Location

Address: 7001 GRANBURY RD
City: Fort Worth
State: Texas
ZIP Code: 76133-5912
Phone: (817) 346-1925

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
Physician Assistant	363A00000X	Primary

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