Individual
LON MILES DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 S COULTER ST STE D-403, AMARILLO, TX 79106-1710
(806) 358-0311
(806) 358-6837
Mailing address
1600 S COULTER ST STE D-403, AMARILLO, TX 79106-1710
(806) 358-0311
(806) 358-6837
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F3889
TX
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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