Provider Demographics
NPI:1528425840
Name:XU, DANNY X (DO)
Entity type:Individual
Prefix:DR
First Name:DANNY
Middle Name:X
Last Name:XU
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NAVAL HEALTH CLINIC CORPUS CHRISTI
Mailing Address - Street 2:10651 E. STREET
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78419
Mailing Address - Country:US
Mailing Address - Phone:361-961-3410
Mailing Address - Fax:
Practice Address - Street 1:NAVAL HEALTH CLINIC CORPUS CHRISTI
Practice Address - Street 2:10651 E. STREET
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78419
Practice Address - Country:US
Practice Address - Phone:613-961-3410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-16
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY356555146L00000X
VA0102204942208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic