Provider Demographics
NPI:1003852237
Name:DAVIS, HONG (MD)
Entity Type:Individual
Prefix:DR
First Name:HONG
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6300 STONEWOOD DRIVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-5281
Mailing Address - Country:US
Mailing Address - Phone:972-867-5888
Mailing Address - Fax:972-867-4888
Practice Address - Street 1:6300 STONEWOOD DR
Practice Address - Street 2:SUITE 202
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-5280
Practice Address - Country:US
Practice Address - Phone:972-867-5888
Practice Address - Fax:972-867-4888
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-22
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8107174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0045LGOtherBCBS
TX173716501Medicaid
TXH11173Medicare UPIN
TX173716501Medicaid