Organization
DAVID J. BAILEY, M.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J BAILEY MD (PRESIDENT)
(936) 639-1740
Entity
Organization
Contact information
Practice address
1111 W FRANK AVE, STE. 301, LUFKIN, TX 75904-3303
(936) 639-1740
(936) 639-1731
Mailing address
1111 W FRANK AVE, STE. 301, LUFKIN, TX 75904-3303
(936) 639-1740
(936) 639-1731
Taxonomy
Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
Primary
J6864
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1127938-01
—
TX
Enumeration date
05/18/2010
Last updated
08/17/2010
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