Healthcare Provider Details

I. General information

NPI: 1942275615
Provider Name (Legal Business Name): DAVID DURELL MINCHEY DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 11/09/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 JOE RAMSEY BLVD E
GREENVILLE TX
75401-7727
US

IV. Provider business mailing address

3900 JOE RAMSEY BLVD E
GREENVILLE TX
75401-7727
US

V. Phone/Fax

Practice location:
  • Phone: 903-455-2383
  • Fax: 903-455-9419
Mailing address:
  • Phone: 903-455-2383
  • Fax: 903-455-9419

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number1288
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number1288
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: