Individual
DR. DON D DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1310 PALUXY RD, GRANBURY, TX 76048-5655
(817) 915-0095
Mailing address
6616 CAROL CT, GRANBURY, TX 76048-6643
(817) 915-0095
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D6410
TX
207P00000X
Emergency Medicine Physician
Primary
D6410
TX
207Q00000X
Family Medicine Physician
D6410
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139506326
—
TX
01
—
P00802548
RAILROAD
TX
Enumeration date
07/20/2006
Last updated
07/09/2010
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