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NPI Code Detail

MEDICARE: JOYCE DAVIDSON MD

MEDICARE: JOYCE DAVIDSON 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
12084P0800XPsychiatry PhysicianL3947TX

Other Identifiers

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

General Provider Information

NPI Number : 1760562102
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOYCE DAVIDSON MD
Provider Business Mailing Address
First Line : 12301 MAIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77035-6207
Country : US
Telephone Number : 713-275-5400
Fax Number : 713-275-5109
Provider Business Practice Location Address
First Line : 12301 MAIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77035-6207
Country : US
Telephone Number : 713-275-5400
Fax Number : 713-275-5109
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 08/29/2019

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