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Individual

DR. DEEPAK MANAPPALLIL DAVIDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
425 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1053
(512) 509-0200
(512) 509-0285
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
Q8240
TX
2084P0800X
Psychiatry Physician
TRN17212
FL

Other

Enumeration date
05/03/2012
Last updated
01/11/2021
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