Provider Demographics
NPI:1417444324
Name:FLEMING, DAVID B (RPH)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:B
Last Name:FLEMING
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 240
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-0240
Mailing Address - Country:US
Mailing Address - Phone:972-775-1180
Mailing Address - Fax:972-775-7971
Practice Address - Street 1:1900 9TH ST
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76301-4130
Practice Address - Country:US
Practice Address - Phone:940-322-5492
Practice Address - Fax:940-322-4444
Is Sole Proprietor?:No
Enumeration Date:2018-04-16
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35457183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist