Provider Demographics
NPI:1831127281
Name:MCNAIR, DAVID P (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:P
Last Name:MCNAIR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7167 COLLEYVILLE BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-8002
Mailing Address - Country:US
Mailing Address - Phone:817-488-4105
Mailing Address - Fax:817-488-4107
Practice Address - Street 1:7167 COLLEYVILLE BLVD STE 102
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-8002
Practice Address - Country:US
Practice Address - Phone:817-488-4105
Practice Address - Fax:817-488-4107
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG8277207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX043643803Medicaid
TX043643802Medicaid
TX043643804Medicaid
TX043643803Medicaid
TX043643802Medicaid
TXC19220Medicare UPIN
TX8D9411Medicare ID - Type Unspecified