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Organization

DAVID T. PRICE, MD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID T PRICE M.D. (PRESIDENT)
(936) 632-0074
Entity
Organization

Contact information

Practice address
1111 W FRANK AVE, SUITE 303, LUFKIN, TX 75904-3303
(936) 632-0074
(936) 632-0081
Mailing address
1111 W FRANK AVE, SUITE 303, LUFKIN, TX 75904-3303
(936) 632-0074
(936) 632-0081

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
M7537
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
286942201
TX
01
TXB124431
MEDICARE PTAN
TX
Enumeration date
08/18/2010
Last updated
11/07/2012
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