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Individual
DR. LISA ANNE DAVIS
Active
Individual
DR. LISA ANNE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H1945
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110231083
RAILROAD MEDICARE PTAN
TX
05
—
130317405
—
TX
05
—
130317407
—
TX
01
—
8F0120
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/28/2006
Last updated
10/28/2009
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