Individual
LENDOL L. 'TAD' DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1902 S IH 35, AUSTIN, TX 78704-3628
(512) 443-9595
Mailing address
1902 S IH 35, AUSTIN, TX 78704-3628
(512) 443-9595
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
E6021
TX
207VM0101X
Maternal & Fetal Medicine Physician
Primary
E0621
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115863602
—
TX
Enumeration date
06/20/2005
Last updated
06/12/2024
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