Provider Demographics
NPI:1215937586
Name:HO, DAVID S (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:S
Last Name:HO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6560 FANNIN ST STE 1554
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2714
Mailing Address - Country:US
Mailing Address - Phone:713-796-1500
Mailing Address - Fax:713-796-1838
Practice Address - Street 1:6560 FANNIN ST STE 1554
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2714
Practice Address - Country:US
Practice Address - Phone:713-796-1500
Practice Address - Fax:713-796-1838
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ7992208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX142661102Medicaid
8BL670OtherBCBS
8BL670OtherBCBS
TX142661102Medicaid