Provider Demographics
NPI:1891100251
Name:PISER, DAVID ANTHONY (DO)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ANTHONY
Last Name:PISER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:722 S BOIS D ARC AVE STE 5
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-1516
Mailing Address - Country:US
Mailing Address - Phone:903-309-1783
Mailing Address - Fax:574-406-7964
Practice Address - Street 1:722 S BOIS D ARC AVE STE 5
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-1516
Practice Address - Country:US
Practice Address - Phone:903-309-1783
Practice Address - Fax:574-406-7964
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-24
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY292761208D00000X
TXT4824208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice