Organization
DAVID FAIRWEATHER, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A FAIRWEATHER MD (DIRECTOR)
(832) 831-9877
Entity
Organization
Contact information
Practice address
13920 OSPREY CT STE C, WEBSTER, TX 77598-1615
(832) 831-9877
(832) 240-4098
Mailing address
1140 WESTMONT DR, SUITE 520, HOUSTON, TX 77015-4363
(713) 453-8711
(713) 453-8721
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160563602
—
TX
Enumeration date
06/06/2006
Last updated
03/02/2020
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