Provider Demographics
NPI:1548264443
Name:NETHERY, DAVID ATTEBERRY (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ATTEBERRY
Last Name:NETHERY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6551 HARRIS PKWY
Mailing Address - Street 2:STE 200
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-6102
Mailing Address - Country:US
Mailing Address - Phone:817-423-1800
Mailing Address - Fax:817-423-1900
Practice Address - Street 1:6551 HARRIS PKWY
Practice Address - Street 2:STE 200
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-6102
Practice Address - Country:US
Practice Address - Phone:817-423-1800
Practice Address - Fax:817-423-1900
Is Sole Proprietor?:No
Enumeration Date:2005-06-08
Last Update Date:2021-10-04
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Provider Licenses
StateLicense IDTaxonomies
TXK8377207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH10947Medicare UPIN
TX8059K1Medicare ID - Type Unspecified