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Organization
MICHAEL L. DAVIS, M.D. P.A.
Active
Organization
MICHAEL L. DAVIS, M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L DAVIS M.D. (OWNER)
(254) 897-3369
Entity
Organization
Contact information
Practice address
409 GLENWOOD ST STE 500, GLEN ROSE, TX 76043-4933
(254) 897-3369
Mailing address
PO BOX 1309, GLEN ROSE, TX 76043-1309
(254) 897-3369
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E2532
TX
Other
Enumeration date
06/11/2008
Last updated
06/25/2009
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