Individual
JOHN W. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
0101053580
VA
208800000X
Urology Physician
Primary
L0785
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007504420
—
VA
05
—
146022201
—
TX
01
—
460749
ANTHEM BC BS
VA
01
—
58216
SENTARA HEALTHCARE
VA
01
—
8B5923
BLUE SHIELD
TX
Enumeration date
01/06/2006
Last updated
11/11/2011
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