MEDICARE: DR. DAVID SON D.O., M.P.H.

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	204D00000X	Neuromusculoskeletal Medicine & OMM Physician	R2982	TX
2	207RA0401X	Addiction Medicine (Internal Medicine) Physician	R2982	TX

General Provider Information

NPI Number	:	1508270539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID SON D.O., M.P.H.

Provider Business Mailing Address
First Line	:	4801 BRENTWOOD STAIR RD STE 404
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76103-1731
Country	:	US
Telephone Number	:	817-492-9383
Fax Number	:

Provider Business Practice Location Address
First Line	:	2307 SPRINGLAKE RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75234-5876
Country	:	US
Telephone Number	:	469-291-5288
Fax Number	:

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

Provider Enumeration Date	:	06/18/2014
Last Update Date	:	11/20/2025

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