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Individual
NORMAN ALAN DAVENPORT
Active
Individual
NORMAN ALAN DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E8417
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099479003
—
TX
01
—
110245215
RAILROAD MEDICARE
—
Enumeration date
07/28/2006
Last updated
09/30/2011
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