MEDICARE: DR. WILLIAM FRANCIS DAVITT III M.D.

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	207W00000X	Ophthalmology Physician	K1410	TX

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	:	1013935188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM FRANCIS DAVITT III M.D.

Provider Business Mailing Address
First Line	:	3101 TAYLOR AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79930-4943
Country	:	US
Telephone Number	:	915-564-4988
Fax Number	:	915-757-3946

Provider Business Practice Location Address
First Line	:	8815 DYER ST
Second Line	:	SUITE 130
City	:	EL PASO
State	:	TX
Zip	:	79904-2000
Country	:	US
Telephone Number	:	915-757-3937
Fax Number	:	915-757-3946

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

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	07/08/2007

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