Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | L3336 | TX |
NPI | 1780656462 |
---|---|
Provider Name | Mr. David A Hester |
First Address | Mount Pleasant, TX 75456-0511 |
Second Address | Mount Pleasant, TX 75455-2338 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2006 |
Last Update Date | 20/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
164663001 | (05) | TX |
298398YTM7 | MEDICARE PTAN (01) | TX |
H82760 | (02) | TX |