MEDICARE: DR. TERAN MILLS DAVIS D.O.

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	207L00000X	Anesthesiology Physician	P0192	TX
2	207L00000X	Anesthesiology Physician	4512	OK
3	207L00000X	Anesthesiology Physician	0102208964	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548584410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TERAN MILLS DAVIS D.O.

Provider Business Mailing Address
First Line	:	4406 MYERWOOD LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75244-7513
Country	:	US
Telephone Number	:	918-549-8284
Fax Number	:

Provider Business Practice Location Address
First Line	:	12222 N CENTRAL EXPY
Second Line	:	SUITE 400
City	:	DALLAS
State	:	TX
Zip	:	75243-3720
Country	:	US
Telephone Number	:	214-219-3747
Fax Number	:

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

Provider Enumeration Date	:	03/22/2010
Last Update Date	:	03/10/2025

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