Individual
DR. ROBERT D. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G3274
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1051724-01
CSHCN
TX
05
—
1051724-02
—
TX
01
—
180040801
RR/MEDICARE
TX
01
—
86J192
BLUE SHIELD
TX
Enumeration date
03/24/2006
Last updated
05/18/2012
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