Individual
MR. BARRY HERRON DAVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 S CLAY, SUITE 103, ENNIS, TX 75119
(972) 875-3495
(972) 878-0728
Mailing address
601 S CLAY, SUITE 103, ENNIS, TX 75119
(972) 875-3495
(972) 878-0728
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D9414
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00H74L
BCBS
TX
Enumeration date
09/07/2006
Last updated
07/08/2007
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