Individual
DAVID VANBUREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6145 N THESTA ST, FRESNO, CA 93710-5266
(559) 446-1065
(559) 436-8193
Mailing address
6145 N THESTA ST, FRESNO, CA 93710-5266
(559) 446-1065
(559) 436-8193
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
C54839
CA
204F00000X
Transplant Surgery Physician
G5725
TX
208600000X
Surgery Physician
C54839
CA
208600000X
Surgery Physician
G5725
TX
2086S0129X
Vascular Surgery Physician
Primary
C54839
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020052581
MEDICARE RAILROAD
TX
05
—
100043740A
—
OK
01
—
130529101
FIRSTCARE COMMERCIAL
TX
05
—
130529102
—
TX
05
—
151818501
—
TX
05
—
151818503
—
TX
01
—
201038181
PRESBYTERIAN COMMERCIAL
NM
05
—
201038181
—
NM
01
—
450686CA99685
SECTION 1011
TX
05
—
62476254
—
NM
01
—
86665Z
HMO BLUE
TX
01
—
8G0350
BC/BS
TX
01
—
A539
TRIWEST
NM
Enumeration date
06/07/2006
Last updated
07/27/2015
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