MEDICARE: DAVID T. NEMOTO M.D, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	J9239	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568467579
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID T. NEMOTO M.D, P.A.

Provider Business Mailing Address
First Line	:	1446 CAMPBELL RD STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-4604
Country	:	US
Telephone Number	:	713-467-2700
Fax Number	:	713-467-3308

Provider Business Practice Location Address
First Line	:	1446 CAMPBELL RD STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-4604
Country	:	US
Telephone Number	:	713-467-2700
Fax Number	:	713-467-3308

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAVID T NEMOTO
Credential	:	M.D.
Telephone Number	:	713-467-2700

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	04/05/2021

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Directions to “DAVID T. NEMOTO M.D, P.A. ” Practice Location

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