Doctor Name: | DR. DAVID L WAITE |
NPI Number: | 1649454885 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | AWAITING |
Business Practice Address: | 36000 Darnall Loop Carl R. Darnall Army Medical Center Fort Hood, TX - 76544 |
Business Phone Number: | 2542888025 |
Business Fax Number: | 2542867326 |
Mailing Address: | 36000 Darnall Loop, Carl R. Darnall Army Medical Center FORT HOOD |
State: | TX |
Postal Code: | 76544 |
Phone Number: | 2542888025 |
Fax Number: | 2542867326 |
NPI Enumeration Date: | 12/24/2007 |
NPI Last Update Date: | 06/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | AWAITING |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |