MEDICARE: DR. ELBERT R. DAVID M.D.

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	207Q00000X	Family Medicine Physician	G3272	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4268528	OTHER	TX	ERD AETNA PPO
2	86V630	OTHER	TX	ERD BLUE HMO
3	4268528	OTHER	TX	ERD AETNA HMO
4	7722675006	OTHER	TX	ERD CIGNA PPO
5	7722675005	OTHER	TX	ERD CIGNA HMO
6	86V630	OTHER	TX	ERD OLD HMO BLUE
7	86V630	OTHER	TX	ERD BLUE PPO
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	758630	OTHER	TX	ERD FH PPO

General Provider Information

NPI Number	:	1861494924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELBERT R. DAVID M.D.

Provider Business Mailing Address
First Line	:	7200 WYOMING SPGS
Second Line	:	STE 600
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-4305
Country	:	US
Telephone Number	:	512-244-1995
Fax Number	:	512-244-2090

Provider Business Practice Location Address
First Line	:	7200 WYOMING SPGS
Second Line	:	STE 600
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-4305
Country	:	US
Telephone Number	:	512-244-1995
Fax Number	:	512-244-2090

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

Provider Enumeration Date	:	06/02/2005
Last Update Date	:	07/12/2010

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Directions to “ DR. ELBERT R. DAVID M.D.” Practice Location

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