MEDICARE: MR. DAVID BRUCE MUEHE MPAS PA

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	363AM0700X	Medical Physician Assistant	PA 02250	TX
2	363A00000X	Physician Assistant	PA02250	TX

General Provider Information

NPI Number	:	1851421747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID BRUCE MUEHE MPAS PA

Provider Business Mailing Address
First Line	:	1500 CITYWEST BLVD STE 300
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77042-2549
Country	:	US
Telephone Number	:	713-620-4000
Fax Number	:	713-458-4229

Provider Business Practice Location Address
First Line	:	3124 SIDNEY BROOKS ST STE 570B
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78235-5113
Country	:	US
Telephone Number	:	210-615-1901
Fax Number	:	210-615-1905

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

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	07/21/2022

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