Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
YOUR FAMILY DOCTOR, PLLC
Active
Organization
YOUR FAMILY DOCTOR, PLLC
Active
Other names
Your Family Doctor, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW J DAVIS MD (MEDICAL DOCTOR)
(936) 582-6000
Entity
Organization
Contact information
Practice address
123 BLUE HERON DR STE 101, MONTGOMERY, TX 77316-3192
(936) 582-6000
(396) 448-6404
Mailing address
123 BLUE HERON DR STE 101, MONTGOMERY, TX 77316-3192
(936) 582-6000
(396) 448-6404
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H0285
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074PA
BCBS OF TX
TX
01
—
C15085
UPIN
TX
01
—
H0285
LICENSE
TX
01
—
P00390413
RAILROAD MEDICARE
TX
01
—
P003904132
INDIVIDUAL NPI
TX
Enumeration date
12/26/2017
Last updated
12/26/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up