| Patricia A. Davis | |
|
2417 Avenue I Bay City TX 77414-6104 | |
| (979) 245-5600 | |
| (979) 245-5614 |
| Full Name | Patricia A. Davis |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2417 Avenue I, Bay City, Texas |
| Authorized Official Name and Position | Patricia Andrews Maxwell (PHYSICIAN) |
| Authorized Official Contact | 9792455600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia A. Davis 2417 Avenue I Bay City TX 77414-6104 Ph: (979) 245-5600 | Patricia A. Davis 2417 Avenue I Bay City TX 77414-6104 Ph: (979) 245-5600 |
| NPI Number | 1851584668 |
|---|---|
| Provider Enumeration Date | 08/24/2007 |
| Last Update Date | 06/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851584668 | NPI | - | NPPES |
| 112120405 | Medicaid | TX | |
| 112120406 | Medicaid | TX | |
| 112120404 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | F9086 (Texas) | Primary |
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