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Individual

DAVID SOMMERHALDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2829 BABCOCK RD STE 300, SAN ANTONIO, TX 78229-6011
(210) 580-9500
(210) 568-4397
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
S5270
TN
207RH0003X
Hematology & Oncology Physician
Primary
S5270
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
417185201
TX
Enumeration date
04/14/2014
Last updated
12/13/2021
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