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Organization
YOUR FAMILY DOCTOR, PLLC
Active
Organization
YOUR FAMILY DOCTOR, PLLC
Active
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
(936) 448-6404
Mailing address
123 BLUE HERON DR STE 101, MONTGOMERY, TX 77316-3192
(936) 582-6000
(936) 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
—
1932214608
INDVIDUAL NPI
TX
01
—
P00390413
RAILROAD
TX
Enumeration date
12/21/2017
Last updated
12/21/2017
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