Individual
DR. RONALD STEPHEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1303 MCCULLOUGH AVE, #525, SAN ANTONIO, TX 78212-5609
(210) 225-2769
(210) 225-7576
Mailing address
1303 MCCULLOUGH AVE, #525, SAN ANTONIO, TX 78212-5609
(210) 225-2769
(210) 225-7576
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G0686
TX
207N00000X
Dermatology Physician
MD.013075
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010189
—
LA
Enumeration date
07/12/2006
Last updated
02/14/2017
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