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NPI Code Detail

MEDICARE: LISA DAVIS MD

MEDICARE: LISA 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
1207Q00000XFamily Medicine PhysicianL0119TX

General Provider Information

NPI Number : 1265521637
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA DAVIS MD
Provider Business Mailing Address
First Line : 1100 W 34TH ST
Second Line :
City : HOUSTON
State : TX
Zip : 77018-6206
Country : US
Telephone Number : 713-861-3939
Fax Number : 713-867-7819
Provider Business Practice Location Address
First Line : 1100 W 34TH ST
Second Line :
City : HOUSTON
State : TX
Zip : 77018-6206
Country : US
Telephone Number : 713-861-3939
Fax Number : 713-867-7819
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 01/29/2008

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Directions to “ LISA DAVIS MD” Practice Location

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