Individual
DAVID GARLAND DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11623 ANGUS RD, SUITE 15, AUSTIN, TX 78759-4003
(512) 346-7170
Mailing address
11623 ANGUS RD, SUITE 15, AUSTIN, TX 78759-4003
(512) 346-7170
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
TX E-0875
TX
207XS0106X
Orthopaedic Hand Surgery Physician
TX E-0875
TX
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
TX E-0875
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
TX E-0875
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TX E-0875
MEDICAL LICENSE
TX
Enumeration date
07/08/2005
Last updated
11/12/2008
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