Pederson, David N
Pederson, David N is an individual health care provider with primary practice located at 4411 Medical Dr Ste 300, San Antonio TX 78229-3824. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Pederson, David N can be contacted via phone (210) 614-5400.Contact Information
Primary practice address
4411 Medical Dr Ste 300
San Antonio TX 78229-3824
Phone: (210) 614-5400
Fax: (210) 614-2413
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | J3572 | Texas |
Profile Details
| NPI number | 1700857471 |
|---|---|
| LBN Legal business name | Pederson, David N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700857471 | NPPES |
| Texas | Other | TXB112477 | MEDICARE |
| Texas | MEDICAID | 046377006 | MEDICARE |
| Texas | Other | P00898264 | MEDICARE |
| Texas | Other | 8CM514 | MEDICARE |
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