Provider Demographics
NPI:1477634608
Name:DAVID W. POPP, M.D., P.A.
Entity Type:Organization
Organization Name:DAVID W. POPP, M.D., P.A.
Other - Org Name:LEON SPRINGS PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:W
Authorized Official - Last Name:POPP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-687-1543
Mailing Address - Street 1:24165 IH-10 WEST
Mailing Address - Street 2:SUITE 114
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78257
Mailing Address - Country:US
Mailing Address - Phone:210-687-1543
Mailing Address - Fax:210-687-9543
Practice Address - Street 1:24165 IH10 WEST
Practice Address - Street 2:SUITE 114
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78257
Practice Address - Country:US
Practice Address - Phone:210-687-1543
Practice Address - Fax:210-687-9543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG8947208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty