Individual
DR. ANDREW JOHN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
143 SUGAR PINE CT, MONTGOMERY, TX 77316-2472
(936) 647-8311
(936) 226-0147
Mailing address
143 SUGAR PINE CT, MONTGOMERY, TX 77316-2472
(936) 647-8311
(936) 226-0147
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H0285
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074PA
BLUE CROSS
TX
01
—
P00390413
MEDICARE B - RAILROAD
TX
Enumeration date
08/20/2006
Last updated
11/26/2023
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