Provider Demographics
NPI:1164412029
Name:SCALES, DAVID K (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:K
Last Name:SCALES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9623 HUEBNER RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1664
Mailing Address - Country:US
Mailing Address - Phone:210-615-6565
Mailing Address - Fax:210-615-6568
Practice Address - Street 1:9623 HUEBNER RD
Practice Address - Street 2:SUITE 100
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1664
Practice Address - Country:US
Practice Address - Phone:210-615-6565
Practice Address - Fax:210-615-6568
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-24
Last Update Date:2017-04-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK4232207W00000X, 207WX0107X, 207WX0108X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0108XAllopathic & Osteopathic PhysiciansOphthalmologyUveitis and Ocular Inflammatory Disease
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX080819801Medicaid
TX0057BYMedicare ID - Type UnspecifiedMEDICARE NUMBER
TX080819801Medicaid