Individual
DAVID T FETZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 648-7770
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 648-7770
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD447976
PA
2085R0202X
Diagnostic Radiology Physician
MT194471
PA
2085R0202X
Diagnostic Radiology Physician
Primary
Q1145
TX
Other
Enumeration date
07/10/2009
Last updated
05/06/2015
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