Individual
DR. BRYAN DOUGLAS DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
100-F W DEAN KEETON ST, SUITE 1.110, AUSTIN, TX 78712-1043
(512) 471-1824
Mailing address
100-F W DEAN KEETON ST, SUITE 1.110, AUSTIN, TX 78712-1043
(512) 471-1824
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202205726
VA
183500000X
Pharmacist
16990
NC
183500000X
Pharmacist
Primary
45964
TX
Other
Enumeration date
12/06/2009
Last updated
02/28/2014
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