MEDICARE: HILARY DAVID

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	171W00000X	Contractor

General Provider Information

NPI Number	:	1568695518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HILARY DAVID

Provider Business Mailing Address
First Line	:	179 S WATSON RD
Second Line	:	SUITE 418
City	:	ARLINGTON
State	:	TX
Zip	:	76010-5416
Country	:	US
Telephone Number	:	682-551-9886
Fax Number	:	817-795-1777

Provider Business Practice Location Address
First Line	:	179 S WATSON RD
Second Line	:	SUITE 418
City	:	ARLINGTON
State	:	TX
Zip	:	76010-5416
Country	:	US
Telephone Number	:	682-551-9886
Fax Number	:	817-795-1777

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

Provider Enumeration Date	:	08/25/2009
Last Update Date	:	08/25/2009

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Directions to “ HILARY DAVID ” Practice Location

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