Individual
STEPHEN KEITH DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1400 GEORGE DIETER DR, SUITE 100, EL PASO, TX 79936-7601
(915) 921-7600
(915) 857-4390
Mailing address
57 ADLER CIR, GALVESTON, TX 77551-5829
(409) 740-0886
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01783
TX
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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