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NPI Code Detail

MEDICARE: MICHAEL K DAVIDSON, M.D.

MEDICARE: MICHAEL K DAVIDSON, 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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1407070477
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHAEL K DAVIDSON, M.D.
Provider Business Mailing Address
First Line : 1315 ST JOSEPH PKWY STE 1503
Second Line :
City : HOUSTON
State : TX
Zip : 77002-8237
Country : US
Telephone Number : 713-655-0073
Fax Number : 713-655-1332
Provider Business Practice Location Address
First Line : 1315 ST JOSEPH PKWY STE 1503
Second Line :
City : HOUSTON
State : TX
Zip : 77002-8237
Country : US
Telephone Number : 713-655-0073
Fax Number : 713-655-1332
Authorized Official
Title or Position : OWNER
Name : MICHAEL DAVIDSON
Credential : M.D.
Telephone Number : 713-655-0073
Provider Enumeration Date : 04/12/2007
Last Update Date : 08/22/2020

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