MEDICARE: MR. DAVID C WEST PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA06175	TX

General Provider Information

NPI Number	:	1073757027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID C WEST PA-C

Provider Business Mailing Address
First Line	:	5224 HAZARD ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-5332
Country	:	US
Telephone Number	:	832-549-8213
Fax Number	:	832-549-8213

Provider Business Practice Location Address
First Line	:	5224 HAZARD ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-5332
Country	:	US
Telephone Number	:	832-549-8213
Fax Number	:	832-549-8213

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2009
Last Update Date	:	03/11/2024

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