| Organization Name: | MCDANIEL CLINIC, P. A. |
| NPI Number: | 1578718011 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CLARK R MCDANIEL (DIRECTOR) |
| Mailing Address: | 1608 West Fm 700 Ste A Big Spring |
| State: | TX US |
| Postal Code: | 797204113 |
| Phone Number: | 4322671014 |
| Fax Number: | 4322672604 |
| NPI Enumeration Date: | 11/25/2008 |
| NPI Last Update Date: | 11/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | E2289 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |