MEDICARE: DR. DAVID ANDREW DJURIC 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	0101239790	VA

General Provider Information

NPI Number	:	1912963349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID ANDREW DJURIC M.D.

Provider Business Mailing Address
First Line	:	7622 LOUIS PASTEUR DR STE 201
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-4019
Country	:	US
Telephone Number	:	210-732-3668
Fax Number	:	210-732-3338

Provider Business Practice Location Address
First Line	:	7622 LOUIS PASTEUR DR STE 201
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-4019
Country	:	US
Telephone Number	:	210-732-3668
Fax Number	:	210-732-3338

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

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	06/03/2024

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