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NPI Code Detail

MEDICARE: STEVEN ANDREW DAVIS MD

MEDICARE: STEVEN ANDREW DAVIS 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
1207N00000XDermatology PhysicianG4561TX

General Provider Information

NPI Number : 1861431025
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN ANDREW DAVIS MD
Provider Business Mailing Address
First Line : 3320 OAKWELL CT
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78218-3128
Country : US
Telephone Number : 210-829-5180
Fax Number : 210-829-5030
Provider Business Practice Location Address
First Line : 3320 OAKWELL CT
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78218-3128
Country : US
Telephone Number : 210-829-5180
Fax Number : 210-829-5030
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2006
Last Update Date : 01/17/2025

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