Provider Demographics
NPI:1306138581
Name:DAVID I. TASKER, MDPA
Entity type:Organization
Organization Name:DAVID I. TASKER, MDPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:I
Authorized Official - Last Name:TASKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-496-0496
Mailing Address - Street 1:1150 N LOOP 1604 W
Mailing Address - Street 2:SUITE 108
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78248-4503
Mailing Address - Country:US
Mailing Address - Phone:210-496-0496
Mailing Address - Fax:210-496-1226
Practice Address - Street 1:1150 N LOOP 1604 W
Practice Address - Street 2:SUITE 108
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78248-4503
Practice Address - Country:US
Practice Address - Phone:210-496-0496
Practice Address - Fax:210-496-1226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-06
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty