Provider Demographics
NPI:1679681407
Name:CHARTRAND, DANIEL JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:JAMES
Last Name:CHARTRAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:302 S TENNESSEE ST
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-5620
Mailing Address - Country:US
Mailing Address - Phone:972-542-9142
Mailing Address - Fax:972-542-9306
Practice Address - Street 1:302 S TENNESSEE ST
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-5620
Practice Address - Country:US
Practice Address - Phone:972-542-9142
Practice Address - Fax:972-542-9306
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7686207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I03094Medicare UPIN
TX612997Medicare PIN