Provider Demographics
NPI:1992703821
Name:PRICE, DAVID WILLIAM (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:WILLIAM
Last Name:PRICE
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 1:2210 SAN JACINTO BLVD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205-7527
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2210 SAN JACINTO BLVD
Practice Address - Street 2:SUITE 3
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205-7527
Practice Address - Country:US
Practice Address - Phone:940-566-6747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-13
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG1998174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist