Provider Demographics
NPI:1659363810
Name:TASKER, DAVID I (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:I
Last Name:TASKER
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:1150 N LOOP 1604 W
Mailing Address - Street 2:SUITE 108
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78248-4503
Mailing Address - Country:US
Mailing Address - Phone:210-496-0496
Mailing Address - Fax:210-496-1226
Practice Address - Street 1:1150 N LOOP 1604 W
Practice Address - Street 2:SUITE 108
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78248-4503
Practice Address - Country:US
Practice Address - Phone:210-496-0496
Practice Address - Fax:210-496-1226
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-15
Last Update Date:2011-05-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXE1426207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX097744902Medicaid
TXB26878Medicare UPIN
TXR426Medicare PIN