Organization
DAVID GARRETT JR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GARRETT JR. MD (OWNER)
(210) 424-6590
Entity
Organization
Contact information
Practice address
1303 MCCULLOUGH AVE, SUITE 434, SAN ANTONIO, TX 78212-5609
(210) 424-6590
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-0834
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
H4342
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2865792
—
TX
Enumeration date
03/23/2011
Last updated
02/10/2012
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