Doctor Name: | MR. DAVID ALAN PRICE |
NPI Number: | 1023112299 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | PA00463 |
Business Practice Address: | 315 Prospect Dr Trinity, TX - 758626202 |
Business Phone Number: | 9365943595 |
Business Fax Number: | 9365940491 |
Mailing Address: | Po Box 672, TRINITY |
State: | TX |
Postal Code: | 758620672 |
Phone Number: | 9365343595 |
Fax Number: | 9365940491 |
NPI Enumeration Date: | 09/11/2006 |
NPI Last Update Date: | 06/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA00463 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |