Miramontes, David Alan

Miramontes, David Alan is an individual health care provider with primary practice located at 4502 Medical Dr , San Antonio TX 78229-4402. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Miramontes, David Alan can be contacted via phone (210) 358-2078.

Contact Information

Primary practice address
4502 Medical Dr San Antonio TX 78229-4402
Phone: (210) 358-2078
Fax: (210) 358-1972
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35073075 Ohio
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 35073075 Ohio
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X Q2348 Texas

Profile Details

NPI number 1790762888
LBN Legal business name Miramontes, David Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated May 28th, 2015 - about 11 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 1790762888 NPPES
Texas MEDICAID 344514001
Texas MEDICAID 2058535
Texas Other 000000377189
Texas Other 000000537084
Texas Other 010A311840

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