# YOUR FAMILY DOCTOR, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275049637
- **Authorized official:** DR. ANDREW J DAVIS MD (MEDICAL DOCTOR)
- **Authorized official phone:** (936) 582-6000

## Contact information

- **Practice address:** 123 BLUE HERON DR STE 101, MONTGOMERY, TX 77316-3192
- **Practice address phone:** (936) 582-6000
- **Practice address fax:** (936) 448-6404
- **Mailing address:** 123 BLUE HERON DR STE 101, MONTGOMERY, TX 77316-3192
- **Mailing address phone:** (936) 582-6000
- **Mailing address fax:** (936) 448-6404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | H0285 | TX | Yes |

## Other

- **Enumeration date:** 12/21/2017
- **Last updated:** 12/21/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0074PA | BCBS OF TX | TX |
| 01 | — | 1932214608 | INDVIDUAL NPI | TX |
| 01 | — | P00390413 | RAILROAD | TX |