Organization
BG ANESTHESIA, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J DAVIS M.D. (PRESIDENT)
(806) 799-2093
Entity
Organization
Contact information
Practice address
6812 WAYNE AVE STE E, LUBBOCK, TX 79424-1633
(806) 799-2093
(806) 783-0277
Mailing address
6812 WAYNE AVE STE E, LUBBOCK, TX 79424-1633
(806) 799-2093
(806) 783-0277
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094925701
—
TX
Enumeration date
01/12/2007
Last updated
09/11/2019
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