Healthcare Provider Details

I. General information

NPI: 1477658482
Provider Name (Legal Business Name): DAVID PATRIC PFEIFER FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7620 DEER RUN
VOLENTE TX
78641-6108
US

IV. Provider business mailing address

7620 DEER RUN
VOLENTE TX
78641-6108
US

V. Phone/Fax

Practice location:
  • Phone: 512-591-4249
  • Fax:
Mailing address:
  • Phone: 512-591-4249
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP113910
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: