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NPI Code Detail

MEDICARE: THOMAS LUKE DAVIS MD

MEDICARE:   THOMAS LUKE DAVIS  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZD0900XDermatopathology (Pathology) PhysicianG4960TX
2207N00000XDermatology PhysicianG4960TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1070010494OTHERTXMEDICARE RR

General Provider Information

NPI Number : 1073512265
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS LUKE DAVIS MD
Provider Business Mailing Address
First Line : 221 MORNINGSIDE DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78209-4733
Country : US
Telephone Number : 210-826-1643
Fax Number :
Provider Business Practice Location Address
First Line : 5939 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75235-6246
Country : US
Telephone Number : 214-645-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 05/06/2026

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Directions to “ THOMAS LUKE DAVIS MD” Practice Location

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