MEDICARE: THOMAS L DAVIES MD PA

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	174400000X	Specialist	E9597	TX

General Provider Information

NPI Number	:	1144589573
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMAS L DAVIES MD PA

Provider Business Mailing Address
First Line	:	8762 LONG POINT RD STE 101
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-3016
Country	:	US
Telephone Number	:	713-461-8932
Fax Number	:	713-461-8946

Provider Business Practice Location Address
First Line	:	8762 LONG POINT RD STE 101
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-3016
Country	:	US
Telephone Number	:	713-461-8932
Fax Number	:	713-461-8946

Authorized Official
Title or Position	:	PRESIDENT
Name	:	THOMAS DAVIES
Credential	:	MD
Telephone Number	:	713-461-8932

Provider Enumeration Date	:	05/04/2012
Last Update Date	:	05/04/2012

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