Individual
MR. JEFFREY TODD DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
#1 BOBCAT LANE, HALLSVILLE, TX 75650-0810
(903) 668-5990
(903) 668-5990
Mailing address
3206 MONA DR, LONGVIEW, TX 75601-6040
(903) 234-8911
(903) 668-5990
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1069
TX
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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