Individual
MICHAEL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10651 E ST, CORPUS CHRISTI, TX 78419-5130
(361) 961-6089
Mailing address
10651 E ST, CORPUS CHRISTI, TX 78419-5130
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/16/2006
Last updated
02/08/2011
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