Individual
DR. DAVID KING FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
816 S FLEISHEL AVE, TYLER, TX 75701-2016
(903) 592-2999
(903) 593-5190
Mailing address
816 S FLEISHEL AVE, TYLER, TX 75701-2016
(903) 592-2999
(903) 593-5190
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
C8971
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0036KV
BLUE CROSS GROUP NUMBER
TX
05
—
115069004
—
TX
01
—
P00063511
RAILROAD MEDICARE
TX
Enumeration date
07/24/2006
Last updated
04/30/2008
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