Healthcare Provider Details

I. General information

NPI: 1801994439
Provider Name (Legal Business Name): DAVID R. ARMBRUSTER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3322 E WALNUT ST SUITE #105
PEARLAND TX
77581-4394
US

IV. Provider business mailing address

3322 E WALNUT ST SUITE #105
PEARLAND TX
77581-4394
US

V. Phone/Fax

Practice location:
  • Phone: 281-485-3226
  • Fax: 281-485-5520
Mailing address:
  • Phone: 281-485-3226
  • Fax: 281-485-5520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD1381
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number208D00000X
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: