Individual
DR. DAVID BRUCE THARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2710 HOSPITAL DR, SUITE 110, VICTORIA, TX 77901-5701
(361) 578-0317
Mailing address
PO BOX 3610, VICTORIA, TX 77903-3610
(361) 578-0317
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
K1697
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118694203
—
TX
01
—
300067792
RAILROAD MEDICARE
—
01
—
87R885
BLUE CROSS
—
Enumeration date
08/05/2006
Last updated
03/04/2014
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