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NPI Code Detail

MEDICARE: DR. MANUEL DAVILA MD

MEDICARE: DR. MANUEL DAVILA MD
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
1207N00000XDermatology PhysicianL7348TX

General Provider Information

NPI Number : 1194709626
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MANUEL DAVILA MD
Provider Business Mailing Address
First Line : 4419 CRENSHAW RD
Second Line :
City : PASADENA
State : TX
Zip : 77504-3628
Country : US
Telephone Number : 281-991-5944
Fax Number : 281-991-6129
Provider Business Practice Location Address
First Line : 4419 CRENSHAW RD
Second Line :
City : PASADENA
State : TX
Zip : 77504-3628
Country : US
Telephone Number : 281-991-5944
Fax Number : 281-991-6129
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2005
Last Update Date : 07/19/2022

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Directions to “ DR. MANUEL DAVILA MD” Practice Location

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