Organization
RANDALL K. DAVIS, M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL K DAVIS M.D. (OWNER)
(432) 689-2222
Entity
Organization
Contact information
Practice address
4214 ANDREWS HWY, SUITE 101, MIDLAND, TX 79703-4822
(432) 689-2222
(432) 689-3430
Mailing address
4214 ANDREWS HWY, SUITE 101, MIDLAND, TX 79703-4822
(432) 689-2222
(432) 689-3430
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J3081
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128434103
—
TX
Enumeration date
06/12/2007
Last updated
10/20/2008
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