Provider Demographics
NPI:1902809262
Name:METRIKIN, DAVID C (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:C
Last Name:METRIKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1700 CURIE DR
Mailing Address - Street 2:STE 3800
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-2985
Mailing Address - Country:US
Mailing Address - Phone:915-532-3912
Mailing Address - Fax:915-542-3436
Practice Address - Street 1:1700 CURIE DR
Practice Address - Street 2:STE 3800
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-2985
Practice Address - Country:US
Practice Address - Phone:915-532-3912
Practice Address - Fax:915-542-3436
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2020-06-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ5410207W00000X, 207WX0107X
NM95-298207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX130497403Medicaid
TX890860Medicare PIN
TX180022082Medicare PIN
F72519Medicare UPIN
NM180022082Medicare PIN