MEDICARE: DR. LARRY E 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	2084N0400X	Neurology Physician	75-134	NM

General Provider Information

NPI Number	:	1760499057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LARRY E DAVIS M.D

Provider Business Mailing Address
First Line	:	1501 SAN PEDRO DR SE
Second Line	:	NEUROLOGY SERVICE (127)
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87108-5153
Country	:	US
Telephone Number	:	505-256-2752
Fax Number	:	505-256-2870

Provider Business Practice Location Address
First Line	:	1501 SAN PEDRO DR SE
Second Line	:	NEUROLOGY SERVICE (127)
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87108-5153
Country	:	US
Telephone Number	:	505-256-2752
Fax Number	:	505-256-2870

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

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	02/08/2026

Similar Medicare Providers

1215525902 — AUGUST VOJDANI PA-C
Practice Location Address:

4588 PARADISE BLVD NW , MEDICARE ADVANTAGE CLINIC
ALBUQUERQUE, NM
87114-4105

Practice Phone: 505-998-1840
Practice Fax: 505-998-1841

1043162530 — DEVYNN SKYE SESLAR RN
Practice Location Address:

1501 SAN PEDRO DR SE
ALBUQUERQUE, NM
87108-5153

Practice Phone: 505-256-2768
Practice Fax:

1154272573 — JEREMY STEVEN BIEN RN
Practice Location Address:

1501 SAN PEDRO DR SE
ALBUQUERQUE, NM
87108-5153

Practice Phone: 505-265-1711
Practice Fax:

1366449720 — DR. CYNTHIA PAULSEN SMITH PHARMD
Practice Location Address:

1501 SAN PEDRO SE
ALBUQUERQUE, NM
87108-5153

Practice Phone: 505-265-1711
Practice Fax: 505-256-2789

1619964293 — DR. PAMELA WALTON MCCOY PHARMD
Practice Location Address:

1501 SAN PEDRO DR SE
ALBUQUERQUE, NM
87108-5153

Practice Phone: 505-265-1711
Practice Fax:

1356339600 — NINA DESAI RESCH PHARM.D.
Practice Location Address:

1501 SAN PEDRO DR SE
ALBUQUERQUE, NM
87108-5153

Practice Phone: 505-265-1711
Practice Fax: 505-256-2789

Directions to “ DR. LARRY E DAVIS M.D” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.