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Contact Information

DANIEL KOPPERSMITH, MD
4001 PRESTON AVENUE
145
PASADENA, TX77505
 Phone: 832-672-6318
 Fax: 832-672-6319
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for DANIEL KOPPERSMITH · (Male)

NPI # 1255343893
Status Active
Credentials MD
Entity Individual
Enumeration date 08/12/2006
Last updated 05/16/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # H3691
  • TX Medicaid 1143661-02
Hospital affiliation(s) Not Available
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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