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General NPI Number Information
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NPI Number | 1689879843
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Entity Type | Organization
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Legal Business Name | ALISON B. DAVIDOW, M.D. (SOLE PROPRIETOR)
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5701 WOODWAY DR STE 202
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City | HOUSTON
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State | TX
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Zip | 77057-1505
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Country | US
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Telephone | 713-785-9985
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Fax |
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Provider Business Mailing Address
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Address Line | 5701 WOODWAY DR STE 202
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City | HOUSTON
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State | TX
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Zip | 77057-1505
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Country | US
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Telephone | 713-785-9985
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JOSEPH DAVIDOW
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Credential |
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Telephone | 713-785-9985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | K1997
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License Number State | TX
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