Provider Demographics
NPI:1457616708
Name:MORCOM, DAVID CHRISTIAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:CHRISTIAN
Last Name:MORCOM
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16306 SHADYBANK DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-2957
Mailing Address - Country:US
Mailing Address - Phone:214-293-5103
Mailing Address - Fax:
Practice Address - Street 1:16306 SHADYBANK DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-2957
Practice Address - Country:US
Practice Address - Phone:214-293-5103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-11
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX513301835N1003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835N1003XPharmacy Service ProvidersPharmacistNutrition Support