Individual
MR. TERRY D'WAYNE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3816 PIEDMONT RD, FORT WORTH, TX 76116
(817) 731-3440
(817) 731-0212
Mailing address
3816 PIEDMONT RD, FORT WORTH, TX 76116-9413
(214) 679-6596
Taxonomy
Speciality
Code
Description
License number
State
333300000X
Emergency Response System Companies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D001015012
—
TX
Enumeration date
03/05/2007
Last updated
01/05/2024
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