Individual
DAVID DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
707 HOLLYBROOK DR STE 500, LONGVIEW, TX 75605-2409
(903) 291-6113
(903) 234-9126
Mailing address
PO BOX 610393, DALLAS, TX 75261-0393
(903) 757-6042
(903) 237-1810
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1263136
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
353658303
—
TX
Enumeration date
08/25/2015
Last updated
03/26/2021
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