MEDICARE: DANIEL G. DAVIS D.O.

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	208600000X	Surgery Physician	M9246	TX

General Provider Information

NPI Number	:	1134173404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL G. DAVIS D.O.

Provider Business Mailing Address
First Line	:	9101 N CENTRAL EXPY STE 370
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-5947
Country	:	US
Telephone Number	:	214-820-8220
Fax Number	:

Provider Business Practice Location Address
First Line	:	9101 N CENTRAL EXPY STE 370
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-5947
Country	:	US
Telephone Number	:	214-820-8220
Fax Number	:

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

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	03/08/2023

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