Provider Demographics
NPI:1972608099
Name:ALTMAN, DAVID JOSEPH (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:JOSEPH
Last Name:ALTMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:21215 FORTALEZA
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78255-2328
Mailing Address - Country:US
Mailing Address - Phone:210-494-2744
Mailing Address - Fax:210-494-2866
Practice Address - Street 1:7700 FLOYD CURL DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3902
Practice Address - Country:US
Practice Address - Phone:210-313-2509
Practice Address - Fax:210-693-1086
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2022-06-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL42172084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH40753Medicare UPIN