| Kevin Lee Davis, PA-C | |
|
1306 13th St, Bridgeport, TX 76426-2454 | |
| (940) 648-1402 | |
| (940) 648-1400 |
| Full Name | Kevin Lee Davis |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 1306 13th St, Bridgeport, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750739405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA10658 (Texas) | Primary |
| 207Q00000X | Family Medicine | PA10658 (Texas) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Lee Davis, PA-C Po Box 1500, Bridgeport, TX 76426-1500 Ph: (940) 255-6552 | Kevin Lee Davis, PA-C 1306 13th St, Bridgeport, TX 76426-2454 Ph: (940) 648-1402 |
Alissa Sobieraj, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2202 Us Highway 380 Ste 112, Bridgeport, TX 76426 Phone: 940-683-2338 Fax: 940-683-2394 | |
Michael A Millis, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 808 Woodrow Wilson Ray Cir, Bridgeport, TX 76426 Phone: 940-683-2297 Fax: 940-683-2984 | |
Ms. Andrea Megan Deloera, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 808 Ww Ray Cir, Bridgeport, TX 76426 Phone: 940-683-2297 | |
Russell J Tanner, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 808 Woodrow Wilson Ray Cir, Bridgeport, TX 76426 Phone: 940-683-2297 Fax: 940-683-2984 |