Michael L. Davis, M.d. P.a. | |
409 Glenwood St Ste 500 Glen Rose TX 76043-4933 | |
(254) 897-3369 | |
Not Available |
Full Name | Michael L. Davis, M.d. P.a. |
---|---|
Speciality | Family Medicine |
Location | 409 Glenwood St Ste 500, Glen Rose, Texas |
Authorized Official Name and Position | Michael L Davis (OWNER) |
Authorized Official Contact | 2548973369 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Michael L. Davis, M.d. P.a. Po Box 1309 Glen Rose TX 76043-1309 Ph: (254) 897-3369 | Michael L. Davis, M.d. P.a. 409 Glenwood St Ste 500 Glen Rose TX 76043-4933 Ph: (254) 897-3369 |
NPI Number | 1194985325 |
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Provider Enumeration Date | 06/11/2008 |
Last Update Date | 06/25/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194985325 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | E2532 (Texas) | Primary |
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