NPIMap

Organization Active NPI

David T. Price, MD, PA

  • Urology Physician
  • Lufkin, TX
National Provider Identifier
1831404565
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
M7537 Issued in TX
Legal business name
DAVID T. PRICE, MD, PA
Practice address
1111 W Frank Ave
Suite 303
Lufkin, TX 75904-3303
Phone
(936) 632-0074
Fax
(936) 632-0081
NPI assigned
Aug 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David T Price, M.D.
Title
President
Phone
(936) 632-0074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X M7537 TX Primary

Addresses

Primary practice location

1111 W Frank Ave
Suite 303
Lufkin, TX 75904-3303

Mailing address

1111 W Frank Ave
Suite 303
Lufkin, TX 75904-3303
Phone (936) 632-0074

Other identifiers 2

IdentifierTypeStateIssuer
286942201MedicaidTX
TXB124431OtherTXMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

601 Ogletree Dr
Ste D
Livingston, TX 77352
Phone (936) 328-8080

4800 NE Stallings Dr
Ste 114
Nacogdoches, TX 75965
Phone (936) 569-0680

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1831404565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W FRANK AVE",
            "address_2": "SUITE 303",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043303",
            "telephone_number": "936-632-0074",
            "fax_number": "936-632-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W FRANK AVE",
            "address_2": "SUITE 303",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043303",
            "telephone_number": "936-632-0074",
            "fax_number": "936-632-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID T. PRICE, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-632-0074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "TX",
            "license": "M7537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286942201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB124431",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.