Provider Demographics
NPI:1932406915
Name:DAVID WILLIAM PRICE, M.D. PA
Entity Type:Organization
Organization Name:DAVID WILLIAM PRICE, M.D. PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/PROPRIETER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-566-6747
Mailing Address - Street 1:2210 SAN JACINTO BLVD.
Mailing Address - Street 2:SUITE #3
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205
Mailing Address - Country:US
Mailing Address - Phone:940-566-6747
Mailing Address - Fax:940-565-9162
Practice Address - Street 1:2210 SAN JACINTO BLVD.
Practice Address - Street 2:SUITE #3
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76205
Practice Address - Country:US
Practice Address - Phone:940-566-6747
Practice Address - Fax:940-565-9162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-28
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG1998207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty