Individual
BRANDON JONATHAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1102 BARCLAY ST, SAN ANTONIO, TX 78207-7161
(210) 283-6304
Mailing address
7110 MALVERN DR, SAN ANTONIO, TX 78250-3551
(210) 305-3348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
U6942
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10076275
TX
Other
Enumeration date
05/05/2021
Last updated
06/01/2024
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