Individual
DAVID RANDOLPH ERWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2901 N 4TH ST, RADIOLOGY DEPARTMENT, LONGVIEW, TX 75605-5128
(903) 663-9074
(903) 663-7394
Mailing address
816 W CANNON ST, FORT WORTH, TX 76104-3146
(817) 321-0404
(817) 321-0486
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
F3936
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132275205
—
TX
Enumeration date
04/27/2006
Last updated
02/07/2020
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