Individual
DR. MARK KEITH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1742 N LOOP 1604 E, SUITE 118, SAN ANTONIO, TX 78232-1593
(210) 403-9050
(210) 403-9939
Mailing address
1742 N LOOP 1604 E STE 118, SAN ANTONIO, TX 78232-1594
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3460
TX
152W00000X
Optometrist
Primary
3460TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000072FC
BCBS
TX
05
—
100404603
—
TX
01
—
136734195824
HUMANA
TX
05
—
161053701
—
TX
01
—
200122447
AETNA
TX
01
—
80575Q
BCBS
TX
Enumeration date
09/15/2005
Last updated
03/24/2026
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