MEDICARE: DAVIS LEGACY SOLUTIONS LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1992639843
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVIS LEGACY SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	600 CONGRESS AVE
Second Line	:	WEWORK STE 16120
City	:	AUSTIN
State	:	TX
Zip	:	78701
Country	:	US
Telephone Number	:	737-235-4892
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 CONGRESS AVE
Second Line	:	WEWORK STE 16120
City	:	AUSTIN
State	:	TX
Zip	:	78701
Country	:	US
Telephone Number	:	737-235-4892
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NATHAN DAVIS
Credential	:
Telephone Number	:	720-281-5468

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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Directions to “DAVIS LEGACY SOLUTIONS LLC ” Practice Location

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