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Individual

BRETT W. DAVIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 78236
(210) 292-6225
Mailing address
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC JBS, JBSA LACKLAND, TX 78236-9008
(210) 292-6225

Taxonomy

Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
R0556
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31035311
CO
Enumeration date
06/12/2007
Last updated
03/16/2026
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