=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952557274
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DAVID SINGLETON MD,PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/18/2008
-----------------------------------------------------
Last Update Date | 11/19/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9745 FM 1960 BYPASS RD W
-----------------------------------------------------
City | HUMBLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77338-4069
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-358-0828
-----------------------------------------------------
Fax | 281-358-4083
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9745 FM 1960 BYPASS RD W
-----------------------------------------------------
City | HUMBLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77338-4069
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-358-0828
-----------------------------------------------------
Fax | 281-358-4083
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OFFICE MANAGER
-----------------------------------------------------
Name | MRS. JACLILLINE F WILLIAMS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 281-358-0828
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP3300X
-----------------------------------------------------
Taxonomy Name | Pain Clinic/Center
-----------------------------------------------------
License Number | J4522
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363AM0700X
-----------------------------------------------------
Taxonomy Name | Medical Physician Assistant
-----------------------------------------------------
License Number | PA02179
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 208VP0014X
-----------------------------------------------------
Taxonomy Name | Interventional Pain Medicine Physician
-----------------------------------------------------
License Number | J4522
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------