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Contact Information

DANIEL MAX & MARCANDREA LLC
4619 S HULEN ST, SUITE C
FORT WORTH, TX76132
 Phone: 682-200-3879
 Fax: 561-828-8367
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for DANIEL MAX & MARCANDREA LLC

NPI # 1134781792
LBN Legal business name DANIEL MAX & MARCANDREA LLC
Authorized official JACKIE BENNETT - (CREDENTIALING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/03/2019
Last updated 02/22/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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