MEDICARE: DAVID WILLIAM PRICE MD

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	G1998	TX

General Provider Information

NPI Number	:	1992703821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID WILLIAM PRICE MD

Provider Business Mailing Address
First Line	:	2210 SAN JACINTO BLVD
Second Line	:	SUITE 3
City	:	DENTON
State	:	TX
Zip	:	76205-7527
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2210 SAN JACINTO BLVD
Second Line	:	SUITE 3
City	:	DENTON
State	:	TX
Zip	:	76205-7527
Country	:	US
Telephone Number	:	940-566-6747
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	07/16/2007

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