Organization
CYPRESS PHYSICIANS ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN R DAVIS MD (PRESIDENT)
(281) 537-0300
Entity
Organization
Contact information
Practice address
13215 DOTSON RD, 160, HOUSTON, TX 77070
(281) 537-0300
Mailing address
13215 DOTSON RD., 160, HOUSTON, TX 77070-4535
(281) 537-0300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0066HQ
BCBS PIN
TX
01
—
CK3588
MEDICARE RAILROAD PIN
TX
Enumeration date
12/27/2007
Last updated
06/25/2018
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