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Individual

DR. JAD LEE DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8140 N MOPAC EXPY BLDG III, SUITE 210, AUSTIN, TX 78759-8837
(512) 343-2292
(512) 343-2745
Mailing address
8140 N MOPAC EXPY BLDG III, SUITE 210, AUSTIN, TX 78759-8837
(512) 343-2292
(512) 343-2745

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K2677
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1431272-05
TX
01
8AG654
BCBS
TX
Enumeration date
06/14/2006
Last updated
11/21/2008
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