MEDICARE: HOWELL EUGENE DAVIS DO

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	207P00000X	Emergency Medicine Physician	H-21109	TX

General Provider Information

NPI Number	:	1629121504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOWELL EUGENE DAVIS DO

Provider Business Mailing Address
First Line	:	3314 CURRY RD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76001-5316
Country	:	US
Telephone Number	:	817-561-9603
Fax Number	:	817-561-1924

Provider Business Practice Location Address
First Line	:	5201 S COOPER ST
Second Line	:	111
City	:	ARLINGTON
State	:	TX
Zip	:	76017-5933
Country	:	US
Telephone Number	:	817-468-9999
Fax Number	:

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

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	07/08/2007

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