Individual
DAVID M LICHTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
855 MONTGOMERY ST, FORT WORTH, TX 76107-2553
(817) 927-1370
(817) 927-3955
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335
(817) 927-1370
(817) 927-3955
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
J7050
TX
207XS0106X
Orthopaedic Hand Surgery Physician
J7050
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131925307
—
TX
01
—
8K7416
BCBS
TX
01
—
P00409004
RAILROAD MEDICARE PIN
TX
Enumeration date
06/15/2006
Last updated
09/27/2011
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