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NPI Code Detail

MEDICARE: DAVID P WASSERMAN DO

MEDICARE: DAVID P WASSERMAN DO
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
1207Q00000XFamily Medicine PhysicianK7413TX
2207Q00000XFamily Medicine Physician02001799AIN

General Provider Information

NPI Number : 1598781288
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID P WASSERMAN DO
Provider Business Mailing Address
First Line : 1927 LOHMANS CROSSING RD
Second Line : SUITE 200
City : AUSTIN
State : TX
Zip : 78734-5243
Country : US
Telephone Number : 512-263-9188
Fax Number : 512-263-3645
Provider Business Practice Location Address
First Line : 4525 LAFAYETTE RD STE A
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46254-2011
Country : US
Telephone Number : 317-821-7346
Fax Number : 877-958-9065
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 05/08/2024

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Directions to “ DAVID P WASSERMAN DO” Practice Location

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