Individual
DAVID LESTER FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PA
Contact information
Practice address
6704 RANDOLPH BLVD, LIVE OAK, TX 78233-4222
(210) 477-5151
(210) 477-5152
Mailing address
6704 RANDOLPH BLVD, LIVE OAK, TX 78233-4222
(210) 477-5151
(210) 477-5152
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
H5882
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
H5882
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113462903
—
TX
Enumeration date
08/18/2006
Last updated
01/25/2022
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