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Organization
LISA A. DAVIS, M.D., P.A.
Active
Organization
LISA A. DAVIS, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA A DAVIS M.D. (OWNER)
(210) 223-3246
Entity
Organization
Contact information
Practice address
414 NAVARRO ST, SUITE 1023, SAN ANTONIO, TX 78205-2516
(210) 223-3246
(210) 223-1816
Mailing address
414 NAVARRO ST, SUITE 1023, SAN ANTONIO, TX 78205-2516
(210) 223-3246
(210) 223-1816
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H1945
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0096GW
BCBS
TX
05
—
153269901
—
TX
01
—
CJ5947
RAILROAD MEDICARE PTAN
TX
Enumeration date
09/05/2007
Last updated
02/27/2008
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