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Individual

MARK HUDSON DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10655 STEEPLETOP DR, HOUSTON, TX 77065-4222
(281) 517-9102
Mailing address
225 DUPERIER AVE, NEW IBERIA, LA 70563-2417
(337) 519-3353

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD.12888R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1549827
LA
Enumeration date
08/22/2006
Last updated
04/13/2015
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