# DAVID T. PRICE, MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831404565
- **Authorized official:** DR. DAVID T PRICE M.D. (PRESIDENT)
- **Authorized official phone:** (936) 632-0074

## Contact information

- **Practice address:** 1111 W FRANK AVE, SUITE 303, LUFKIN, TX 75904-3303
- **Practice address phone:** (936) 632-0074
- **Practice address fax:** (936) 632-0081
- **Mailing address:** 1111 W FRANK AVE, SUITE 303, LUFKIN, TX 75904-3303
- **Mailing address phone:** (936) 632-0074
- **Mailing address fax:** (936) 632-0081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | M7537 | TX | Yes |

## Other

- **Enumeration date:** 08/18/2010
- **Last updated:** 11/07/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 286942201 | — | TX |
| 01 | — | TXB124431 | MEDICARE PTAN | TX |