Healthcare Provider Details

I. General information

NPI: 1447538251
Provider Name (Legal Business Name): DAVID J. ALTMAN, M.D., PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2011
Last Update Date: 06/01/2022
Certification Date: 06/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 FLOYD CURL DR
SAN ANTONIO TX
78229-3902
US

IV. Provider business mailing address

21215 FORTALEZA
SAN ANTONIO TX
78255-2328
US

V. Phone/Fax

Practice location:
  • Phone: 210-313-2509
  • Fax: 210-494-2866
Mailing address:
  • Phone: 210-313-2509
  • Fax: 210-693-1086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberL4217
License Number StateTX

VIII. Authorized Official

Name: DAVID J ALTMAN
Title or Position: PRESIDENT/CEO
Credential: M.D.
Phone: 210-313-2509