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Individual

MR. WILLIE RAY DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.M.T.

Contact information

Practice address
11844 BANDERA ROAD, 276, HELOTES, TX 78023-4132
(830) 612-2863
(830) 612-2863
Mailing address
11844 BANDERA RD, 276, HELOTES, TX 78023-4132
(830) 612-2863
(830) 613-2863

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT038556
TX

Other

Enumeration date
10/20/2006
Last updated
07/08/2007
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