MEDICARE: PRIYA DAVAR MD

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	207Q00000X	Family Medicine Physician	R9203	TX

General Provider Information

NPI Number	:	1831585603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRIYA DAVAR MD

Provider Business Mailing Address
First Line	:	5110 BUFFALO SPEEDWAY STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-4220
Country	:	US
Telephone Number	:	713-363-7460
Fax Number	:	713-660-0683

Provider Business Practice Location Address
First Line	:	5110 BUFFALO SPEEDWAY STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-4220
Country	:	US
Telephone Number	:	713-363-7460
Fax Number	:	713-660-0683

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

Provider Enumeration Date	:	04/08/2015
Last Update Date	:	08/19/2024

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