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Individual

ALVIN V DAVIS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5016 S US HIGHWAY 75, RADIOLOGY DEPT, DENISON, TX 75020-4584
(903) 892-1131
(903) 327-8023
Mailing address
PO BOX 340, SHERMAN, TX 75091-0340
(903) 892-1131
(903) 327-8023

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
26730
OK
2085R0202X
Diagnostic Radiology Physician
2006008741
MO
2085R0202X
Diagnostic Radiology Physician
Primary
N1607
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200223770
OK
05
200782502
TX
05
201048907
MO
Enumeration date
05/26/2006
Last updated
05/15/2014
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