Individual
WILLIAM GRANT DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 E. DAWSON, TRINITY MOTHER FRANCES HOSPITAL, TYLER, TX 75701
(512) 814-0298
(512) 597-2713
Mailing address
PO BOX 2386, BRAZOS VALLEY PATHOLOGY, ROUND ROCK, TX 78664
(903) 944-8991
(512) 597-2713
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
N8181
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0808107
—
TX
01
—
TXB134816
MEDICARE
TX
Enumeration date
06/08/2006
Last updated
10/31/2014
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