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NPI Code Detail

MEDICARE: DAVID WEIGAND SARGENT DO

MEDICARE:   DAVID WEIGAND SARGENT  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
1207Y00000XOtolaryngology PhysicianH8822TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710973748
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID WEIGAND SARGENT DO
Provider Business Mailing Address
First Line : PO BOX 1367
Second Line :
City : SULPHUR SPRINGS
State : TX
Zip : 75483-1367
Country : US
Telephone Number : 903-885-6534
Fax Number : 903-885-5109
Provider Business Practice Location Address
First Line : 101 MEDICAL PLAZA
Second Line :
City : SULPHUR SPRINGS
State : TX
Zip : 75482-2105
Country : US
Telephone Number : 903-885-6534
Fax Number : 903-885-5109
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2005
Last Update Date : 08/06/2015

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Directions to “ DAVID WEIGAND SARGENT DO” Practice Location

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