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General NPI Number Information
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NPI Number | 1376692285
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Entity Type | Individual
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Provider Name | DAVID J CHOI MD
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Gender | Male
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 06/15/2015
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Provider Practice Location Address
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Address Line | 4551 WESTERN CENTER BLVD
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City | FORT WORTH
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State | TX
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Zip | 76137-2628
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Country | US
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Telephone | 817-644-3340
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Fax | 817-644-3344
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Provider Business Mailing Address
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Address Line | 4551 WESTERN CENTER BLVD
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City | FORT WORTH
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State | TX
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Zip | 76137-2628
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Country | US
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Telephone | 817-644-3340
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Fax | 817-644-3344
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 24109
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | N1285
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License Number State | TX
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