Provider Demographics
NPI:1043551518
Name:MAIR, DAVID (MSC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:MAIR
Suffix:
Gender:M
Credentials:MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3860 BANNER DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-6662
Mailing Address - Country:US
Mailing Address - Phone:952-454-3961
Mailing Address - Fax:
Practice Address - Street 1:3860 BANNER DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-6662
Practice Address - Country:US
Practice Address - Phone:952-454-3961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-08
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other