Healthcare Provider Details

I. General information

NPI: 1972608099
Provider Name (Legal Business Name): DAVID JOSEPH ALTMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2006
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: 210-693-1086
Mailing address:
  • Phone: 210-494-2744
  • Fax: 210-494-2866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: