Individual
EDDIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
109 GALLERY CIR STE 119, SUITE 119, SAN ANTONIO, TX 78258-3328
(210) 490-3668
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1818
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1913154
—
TX
Enumeration date
07/16/2007
Last updated
01/10/2025
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