Individual
DR. RENE DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 NORTH STATE STREET, DEPT OF MEDICINE DIVISION OF DIGESTIVE DISEASE, JACKSON, MS 39216-4505
(601) 984-4540
(601) 984-4548
Mailing address
P.O. BOX 24146, UNIVERSITY PHYSICIANS, PLLC, JACKSON, MS 39225-4146
(601) 984-4540
(601) 984-4548
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31854
TN
207RG0100X
Gastroenterology Physician
Primary
20542
MS
207RG0100X
Gastroenterology Physician
31854
TN
207RI0008X
Hepatology Physician
31854
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121826
—
MS
05
—
3845260
—
TN
Enumeration date
04/25/2006
Last updated
07/03/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us