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Contact Information

DANIEL G CHURCH, MD
8401 DATAPOINT DR
SUITE 600
SAN ANTONIO, TX78229-5900
 Phone: 210-616-7796
 Fax: 210-616-7799
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Body Imaging

2085B0100X
 

Diagnostic Neuroimaging

2085D0003X
 

Diagnostic Ultrasound

2085U0001X
 

Neuroradiology

2085N0700X
 

Nuclear Radiology

2085N0904X
 

Pediatric Radiology

2085P0229X
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for DANIEL G CHURCH · (Male)

NPI # 1639374374
Status Active
Credentials MD
Entity Individual
Enumeration date 06/20/2007
Last updated 03/24/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • TX License # M0042
  • TX Medicaid 2027005-01
  • TX Other 2027005-02 MEDICAID - CSHCN
  • TX Other 2027005-03 MEDICAID - STRIC
  • TX Other 8L14244 MEDICARE - STRIC
  • TX Other P00736456 RAILROAD MEDICARE
  • TX Other P00855904 RAILROAD MEDICARE
  • TX Other M0042 TEXAS MEDICAL BOARD
Hospital affiliation(s)
  • CONNALLY MEMORIAL MEDICAL CENTER - (Acute Care)
    499 10TH STREET
    FLORESVILLE, TX 78114
  • MEDINA REGIONAL HOSPITAL - (Critical Access)
    3100 AVENUE E
    HONDO, TX 78861
  • METHODIST HOSPITAL - (Acute Care)
    7700 FLOYD CURL DR
    SAN ANTONIO, TX 78229
  • METHODIST STONE OAK HOSPITAL - (Acute Care)
    1139 E SONTERRA BLVD
    SAN ANTONIO, TX 78258
  • ODESSA REGIONAL HOSPITAL - (Acute Care)
    520 E 6TH STREET
    ODESSA, TX 79761
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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