| Sandra Davis Md, Pa | |
|
6777 Camp Bowie Blvd Ste 229 Fort Worth TX 76116-7157 | |
| (682) 703-1311 | |
| (817) 259-2785 |
| Full Name | Sandra Davis Md, Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6777 Camp Bowie Blvd Ste 229, Fort Worth, Texas |
| Authorized Official Name and Position | Sandra Echegoyen Davis (PRESIDENT) |
| Authorized Official Contact | 8178885946 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Davis Md, Pa 5724 El Campo Ave Fort Worth TX 76107-4646 Ph: (817) 888-5946 | Sandra Davis Md, Pa 6777 Camp Bowie Blvd Ste 229 Fort Worth TX 76116-7157 Ph: (682) 703-1311 |
| NPI Number | 1871851527 |
|---|---|
| Provider Enumeration Date | 05/01/2012 |
| Last Update Date | 02/19/2024 |
| Certification Date | 06/23/2022 |
| Medicare PECOS PAC ID | 2567775489 |
|---|---|
| Medicare Enrollment ID | O20150722003678 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871851527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Sandra Echegoyen Davis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215016951 PECOS PAC ID: 3476866393 Enrollment ID: I20150724010108 |
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