Individual
JOHN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1315 ST JOSEPH PKWY STE 1004, HOUSTON, TX 77002-8231
(936) 441-1010
Mailing address
25511 BUDDE RD STE 2502, THE WOODLANDS, TX 77380-2388
(832) 616-5560
(866) 475-9062
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
10503
MT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
N1301
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202055401
—
TX
Enumeration date
06/12/2006
Last updated
12/27/2018
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