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Individual

MR. BRIAN A DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
2222 SETTLERS WAY BLVD, APT 1415, SUGAR LAND, TX 77478-5262
(281) 467-1547
Mailing address
1051 ELDRIDGE RD, SUGAR LAND, TX 77478-2811
(281) 467-1547

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
102825
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
102825
TDSHS
TX
Enumeration date
09/29/2011
Last updated
09/29/2011
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