MEDICARE: DR. JACOBI DAVIS AU.D.

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
1	231H00000X	Audiologist	81394	TX

General Provider Information

NPI Number	:	1093382673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JACOBI DAVIS AU.D.

Provider Business Mailing Address
First Line	:	3132 MATLOCK ROAD
Second Line	:	STE 303
City	:	ARLINGTON
State	:	TX
Zip	:	76015
Country	:	US
Telephone Number	:	817-472-7720
Fax Number	:	817-417-7280

Provider Business Practice Location Address
First Line	:	3132 MATLOCK RD STE 303
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76015-2922
Country	:	US
Telephone Number	:	817-472-7720
Fax Number	:	817-417-7280

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2021
Last Update Date	:	10/01/2025

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