Healthcare Provider Details

I. General information

NPI: 1467577205
Provider Name (Legal Business Name): DR. DAVID M PLAYER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13409 GEORGE RD
SAN ANTONIO TX
78230-3064
US

IV. Provider business mailing address

13409 GEORGE RD
SAN ANTONIO TX
78230-3064
US

V. Phone/Fax

Practice location:
  • Phone: 210-492-8922
  • Fax:
Mailing address:
  • Phone: 210-492-8922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberE6567
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: