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General NPI Number Information
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NPI Number | 1740779800
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Entity Type | Organization
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Legal Business Name | DAVIS HEALTH VENTURES PLLC
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Dates
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Enumeration Date | 05/04/2018
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Last Update Date | 11/15/2022
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Provider Practice Location Address
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Address Line | 11301 FALLBROOK DR STE 207
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City | HOUSTON
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State | TX
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Zip | 77065-4270
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Country | US
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Telephone | 817-503-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 16131 N ELDRIDGE PKWY STE 100
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City | TOMBALL
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State | TX
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Zip | 77377-9130
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Country | US
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Telephone | 817-503-2300
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Fax | 817-887-2198
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MATT HAMMIT
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Credential | MD
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Telephone | 817-503-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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