Individual
JOHN B DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 479-0019
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 479-0019
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP112705
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172991501
—
TX
01
—
8N7439
BCBS
TX
Enumeration date
07/20/2005
Last updated
11/20/2023
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