Fletcher, David King

Fletcher, David King is an individual health care provider with primary practice located at 816 S Fleishel Ave , Tyler TX 75701-2016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Fletcher, David King can be contacted via phone (903) 592-2999.

Contact Information

Primary practice address
816 S Fleishel Ave Tyler TX 75701-2016
Fax: (903) 593-5190
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X C8971 Texas

Profile Details

NPI number 1144242348
LBN Legal business name Fletcher, David King
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Apr 30th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144242348 NPPES
Texas MEDICAID 115069004
Texas Other P00063511
Texas Other 0036KV

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