Provider Demographics
NPI:1538265442
Name:FOLKERS, DAVID C (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:C
Last Name:FOLKERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4007 JAMES CASEY ST
Mailing Address - Street 2:STE A230
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-3340
Mailing Address - Country:US
Mailing Address - Phone:512-402-5806
Mailing Address - Fax:512-487-5086
Practice Address - Street 1:4007 JAMES CASEY ST
Practice Address - Street 2:STE A230
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-3340
Practice Address - Country:US
Practice Address - Phone:512-402-5806
Practice Address - Fax:512-487-5086
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2019-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9032208C00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX029679001Medicaid
742806313OtherTAX ID
TX0014AVMedicare ID - Type Unspecified
TX029679001Medicaid