MEDICARE: DR. PETER FRANKLIN 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
1	207R00000X	Internal Medicine Physician	K3707	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1497861785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER FRANKLIN DAVIS M.D.

Provider Business Mailing Address
First Line	:	6008 WINTON ST
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75206-5539
Country	:	US
Telephone Number	:	214-370-9201
Fax Number	:	214-768-2151

Provider Business Practice Location Address
First Line	:	6801 SNIDER PLZ # 130
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75205-1366
Country	:	US
Telephone Number	:	214-696-8033
Fax Number	:	214-361-2552

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

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	06/15/2011

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