Individual
MR. THOMAS JAMES DAVIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 HOSPITAL DR, OAKDALE, LA 71463-3034
(318) 335-4320
(318) 335-4908
Mailing address
105 HOSPITAL DR, OAKDALE, LA 71463-3034
(318) 335-4320
(318) 335-4908
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LA19028
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1389081
—
LA
Enumeration date
12/12/2006
Last updated
12/08/2011
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