Provider Demographics
NPI:1699857599
Name:PARTRIDGE, DAVID B (MD ,DO)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:B
Last Name:PARTRIDGE
Suffix:
Gender:M
Credentials:MD ,DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 PRESTON ROAD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-0000
Mailing Address - Country:US
Mailing Address - Phone:281-232-2075
Mailing Address - Fax:281-344-4606
Practice Address - Street 1:2100 PRESTON ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-1419
Practice Address - Country:US
Practice Address - Phone:281-232-2075
Practice Address - Fax:281-344-4606
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF7029207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX87G707Medicare ID - Type UnspecifiedMEDICARE PAART B ID
TXE19443Medicare UPIN
TXP00205566Medicare ID - Type UnspecifiedRAILFOAD MDECARE PART B