Individual
FERNANDO DAVALOS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4340 N JOSEY LN, SUITE 204, CARROLLTON, TX 75010-4602
(469) 800-4900
(469) 800-4909
Mailing address
4340 N JOSEY LN, SUITE 204, CARROLLTON, TX 75010-4602
(469) 800-4900
(469) 800-4909
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M7932
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198099701
—
TX
05
—
198099703
—
TX
Enumeration date
05/31/2007
Last updated
10/16/2013
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