Organization
DAVIES RECOVERY,LLC
Active
Other names
Davies MedClinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA FRITZ PHYSICIAN ASSISTANT (PHYSICIAN ASSISTANT)
(210) 440-0733
Entity
Organization
Contact information
Practice address
9503 MIDDLEX DR, SAN ANTONIO, TX 78217-5915
(210) 440-0733
Mailing address
9503 MIDDLEX DR, SAN ANTONIO, TX 78217-5915
(210) 440-0733
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K9029
PHYSICIAN LICENSE
TX
01
—
PA10965
LICENSE
TX
Enumeration date
10/30/2020
Last updated
10/31/2020
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