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Individual

MARK JOSEPH DAVIS

Active
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Individual

MARK JOSEPH DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2692
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2692
CHIROPRACITIC LICENSE NO.
TX
01
—
350036140
RAILROAD MEDICARE
TX
01
—
4300584
AETNA
TX
01
—
600967
BCBS PROVIDER NO.
TX
01
—
6835675002
CIGNA
TX
Enumeration date
06/09/2005
Last updated
10/20/2025
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