MEDICARE: DR. WILLIAM C. DAVIS CHIROPRACTOR

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	111N00000X	Chiropractor	8285	TX

General Provider Information

NPI Number	:	1326045782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM C. DAVIS CHIROPRACTOR

Provider Business Mailing Address
First Line	:	109 NW MAIN ST
Second Line	:
City	:	ENNIS
State	:	TX
Zip	:	75119-4053
Country	:	US
Telephone Number	:	972-875-9377
Fax Number	:

Provider Business Practice Location Address
First Line	:	109 NW MAIN ST
Second Line	:
City	:	ENNIS
State	:	TX
Zip	:	75119-4053
Country	:	US
Telephone Number	:	972-875-9377
Fax Number	:

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

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	11/06/2021

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Directions to “ DR. WILLIAM C. DAVIS CHIROPRACTOR” Practice Location

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