Individual
DR. MARK GLYNN DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6600 FISH POND RD STE 101, WACO, TX 76710-2582
(254) 776-3188
(254) 776-3671
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 358-2074
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
M8620
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01995142
—
NY
05
—
1807532
—
LA
05
—
196915601
—
TX
05
—
196915602
—
TX
05
—
196915603
—
TX
01
—
8AP706
BLUE CROSS BLUE SHIELD
TX
01
—
P00633958
RAILROAD MEDICARE
TX
01
—
P01039325
RR MEDICARE
TX
Enumeration date
06/28/2006
Last updated
09/13/2023
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