Provider Demographics
NPI:1073757027
Name:WEST, DAVID C (PA-C)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:C
Last Name:WEST
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5224 HAZARD ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-5332
Mailing Address - Country:US
Mailing Address - Phone:832-549-8213
Mailing Address - Fax:832-549-8213
Practice Address - Street 1:5224 HAZARD ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-5332
Practice Address - Country:US
Practice Address - Phone:832-549-8213
Practice Address - Fax:832-549-8213
Is Sole Proprietor?:No
Enumeration Date:2009-04-21
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA06175363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant