Individual
MR. DAVID EDWARD DAVIDSON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1919 NORTH LOOP W, SUITE 430, HOUSTON, TX 77008-1374
(713) 864-0556
(713) 864-1059
Mailing address
1919 NORTH LOOP WEST, SUITE 430, HOUSTON, TX 77008-1364
(713) 864-0556
(713) 864-1059
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1007458
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8AJ533
BLUE CROSS BLUE SHIELD
TX
05
—
Z06500293
—
TX
Enumeration date
08/10/2006
Last updated
12/20/2007
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