MEDICARE: DR. JAMES HENRY DAVIS III DPT

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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1609482819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES HENRY DAVIS III DPT

Provider Business Mailing Address
First Line	:	401 S COIT RD APT 738
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75072-1228
Country	:	US
Telephone Number	:	405-413-2722
Fax Number	:

Provider Business Practice Location Address
First Line	:	8081 WALNUT HILL LN STE 1000
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4313
Country	:	US
Telephone Number	:	214-239-0993
Fax Number	:

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

Provider Enumeration Date	:	09/22/2020
Last Update Date	:	09/22/2020

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