MEDICARE: ROBERT EDWIN DAVIDOSKI SR. MS

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	101YM0800X	Mental Health Counselor	93742	TX

General Provider Information

NPI Number	:	1477432805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT EDWIN DAVIDOSKI SR. MS

Provider Business Mailing Address
First Line	:	2822 LAKECREST RIVER DR
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77493-2581
Country	:	US
Telephone Number	:	346-558-4730
Fax Number	:

Provider Business Practice Location Address
First Line	:	12337 JONES RD STE 114
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-4844
Country	:	US
Telephone Number	:	281-894-7222
Fax Number	:

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

Provider Enumeration Date	:	08/29/2025
Last Update Date	:	03/05/2026

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