Provider Demographics
NPI:1578352829
Name:CANABAL, DANIELA C (BS)
Entity type:Individual
Prefix:MRS
First Name:DANIELA
Middle Name:C
Last Name:CANABAL
Suffix:
Gender:
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2420 CANTER LN
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77384-3300
Mailing Address - Country:US
Mailing Address - Phone:346-550-5366
Mailing Address - Fax:
Practice Address - Street 1:2420 CANTER LN
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77384-3300
Practice Address - Country:US
Practice Address - Phone:346-550-5366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-03
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor