Provider Demographics
NPI:1710094701
Name:ESPINO, DAVID VIRGIL (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:VIRGIL
Last Name:ESPINO
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6711 S NEW BRAUNFELS AVE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78223-3009
Mailing Address - Country:US
Mailing Address - Phone:210-531-3791
Mailing Address - Fax:210-531-3795
Practice Address - Street 1:6711 S NEW BRAUNFELS AVE
Practice Address - Street 2:SUITE 500
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78223-3009
Practice Address - Country:US
Practice Address - Phone:210-531-3791
Practice Address - Fax:210-531-3795
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG5027207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX091840101Medicaid
826191Medicare PIN
TX091840101Medicaid
TX8L12002Medicare PIN