Individual
DR. ROBERT D. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
2401 S 31ST ST, MS-32-P1201, TEMPLE, TX 76508-0001
(254) 724-2111
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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