Individual
MR. DAVID J. LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
2200 BERGQUIST DR, #1, LACKLAND A F B, TX 78236-9907
(210) 292-7100
Mailing address
485 QUENTIN ROOSEVELT RD, SAN ANTONIO, TX 78226-1865
(210) 925-2071
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
TX
Other
Enumeration date
04/13/2009
Last updated
04/13/2009
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