Most Relevant Information
Provider Data
| NPI Number: | 1003452970 |
| Provider Name: | DAVID SPAIN RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/26/2019 |
| Last Updated: | 11/08/2023 |
Provider Practice Location
3551 ROGER BROOKE DR
FORT SAM HOUSTON
TX
782344504
Practice Location Phone/Fax
| Phone: | 2102211451 |
| Fax: |
Provider Mailing Location
10250 JUNIPER OAKS
BOERNE
TX
780062491
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |