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NPI Code Detail

MEDICARE: DR. KEVIN B. DAVIS M.D.

MEDICARE: DR. KEVIN B. 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
1207V00000XObstetrics & Gynecology PhysicianF9352TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265430482
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN B. DAVIS M.D.
Provider Business Mailing Address
First Line : 801 W 1ST STREET
Second Line :
City : SAN JUAN
State : TX
Zip : 78589-2276
Country : US
Telephone Number : 956-787-8915
Fax Number : 956-787-2021
Provider Business Practice Location Address
First Line : 806 WEST 3RD ST
Second Line :
City : SAN JUAN
State : TX
Zip : 78589-2276
Country : US
Telephone Number : 956-787-8915
Fax Number : 956-787-2021
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2005
Last Update Date : 08/30/2012

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Directions to “ DR. KEVIN B. DAVIS M.D.” Practice Location

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