Healthcare Provider Details

I. General information

NPI: 1508270539
Provider Name (Legal Business Name): DAVID SON D.O., M.P.H.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2014
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2307 SPRINGLAKE RD
DALLAS TX
75234-5876
US

IV. Provider business mailing address

4801 BRENTWOOD STAIR RD STE 404
FORT WORTH TX
76103-1731
US

V. Phone/Fax

Practice location:
  • Phone: 469-291-5288
  • Fax:
Mailing address:
  • Phone: 817-492-9383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License NumberR2982
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License NumberR2982
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: