Individual
MR. BRYAN MARK DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
230 MESA VERDE DR., CENTER POINT, TX 78010
(830) 634-2212
(830) 634-7820
Mailing address
P.O BOX 1205, CENTER POINT, TX 78010
(830) 285-7881
(602) 323-3496
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5634
AZ
207Q00000X
Family Medicine Physician
Primary
N7611
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620864
—
AZ
Enumeration date
06/18/2009
Last updated
07/08/2020
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