MEDICARE: DAVID F. DAVIS 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	207RC0000X	Cardiovascular Disease Physician	E6316	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	:	1144245549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID F. DAVIS M.D.

Provider Business Mailing Address
First Line	:	425 N HIGHLAND AVE
Second Line	:	STE 120
City	:	SHERMAN
State	:	TX
Zip	:	75092-7383
Country	:	US
Telephone Number	:	903-893-0742
Fax Number	:	903-893-5336

Provider Business Practice Location Address
First Line	:	425 N HIGHLAND AVE
Second Line	:	STE 120
City	:	SHERMAN
State	:	TX
Zip	:	75092-7383
Country	:	US
Telephone Number	:	903-361-7869
Fax Number	:	903-598-7726

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

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	02/29/2016

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Directions to “ DAVID F. DAVIS M.D.” Practice Location

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