Dustin Allen Davenport, MD is a
Student In An Organized Health Care Education/training Program physician based in El Paso, Texas. Dustin Allen Davenport is licensed to practice in Texas (license number BP10081543) and his current practice location is 4801 Alberta Ave, El Paso, Texas. He can be reached at his office (for appointments etc.) via phone at
(915) 215-8000.
NPI number for Dustin Allen Davenport is 1366188211 and his current mailing address is 4801 Alberta Ave, El Paso, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366188211.
Physician's Profile
| Full Name | Dustin Allen Davenport |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 4801 Alberta Ave, El Paso, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1366188211
- Provider Enumeration Date: 05/12/2022
- Last Update Date: 07/11/2022
Medical Identifiers
Medical identifiers for Dustin Allen Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366188211 | NPI | - | NPPES |
| BP10081543 | Other | TX | TEXAS MEDICAL BOARD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 1366188211 (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | BP10081543 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dustin Allen Davenport is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dustin Allen Davenport, MD
4801 Alberta Ave,
El Paso, TX 79905-2707
Ph: () - | Dustin Allen Davenport, MD
4801 Alberta Ave,
El Paso, TX 79905-2707
Ph: (915) 215-8000 |
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