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1912492927
DANIEL LAWRENCE BLACK
TYLER, TX
NPI
1912492927
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX AP137811)
Enumeration Date
2018-06-22
Last Update Date
2023-10-19
Business Address
DANIEL LAWRENCE BLACK MSN, FNP
1400 W SW LOOP 323 STE 60
TYLER, TX 75701-7059
Phone number: 903-526-4875
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Mailing Address
DANIEL LAWRENCE BLACK MSN, FNP
110 W ERWIN ST STE B
TYLER, TX 75702-7227
Phone number: 830-708-2135
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