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NPI Code Detail

MEDICARE: DR. DAVID STEPHEN MYERS MD

MEDICARE: DR. DAVID STEPHEN MYERS MD
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 PhysicianM5394TX

General Provider Information

NPI Number : 1902961493
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID STEPHEN MYERS MD
Provider Business Mailing Address
First Line : PO BOX 848476
Second Line :
City : DALLAS
State : TX
Zip : 75284-8476
Country : US
Telephone Number : 254-202-4655
Fax Number : 254-202-4697
Provider Business Practice Location Address
First Line : 7702 CENTRAL PARK DR
Second Line :
City : WACO
State : TX
Zip : 76712-6535
Country : US
Telephone Number : 254-202-7700
Fax Number : 254-202-7710
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2006
Last Update Date : 09/23/2020

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