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Individual

DR. MERRITT G. DAVIS, JR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4502 MEDICAL DR, HYPERBARICS DEPARTMENT, SAN ANTONIO, TX 78229-4402
(210) 358-4320
(210) 358-4806
Mailing address
7703 FLOYD CURL DRIVE, MC 7798, UTHSCSA, DEPT. OF REHAB MEDICINE, SAN ANTONIO, TX 78229
(210) 358-4328
(210) 358-4806

Taxonomy

Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
J4766
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116151505
TX
01
8A4721
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/24/2006
Last updated
09/27/2013
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