Provider Demographics
NPI:1801994439
Name:ARMBRUSTER, DAVID R (DO)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:R
Last Name:ARMBRUSTER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3322 E WALNUT ST
Mailing Address - Street 2:SUITE #105
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-4394
Mailing Address - Country:US
Mailing Address - Phone:281-485-3226
Mailing Address - Fax:281-485-5520
Practice Address - Street 1:3322 E WALNUT ST
Practice Address - Street 2:SUITE #105
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-4394
Practice Address - Country:US
Practice Address - Phone:281-485-3226
Practice Address - Fax:281-485-5520
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD1381207Q00000X
MO208D00000X207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00B674Medicare ID - Type Unspecified
TXD97174Medicare UPIN