Provider Demographics
NPI:1053498436
Name:DAVIES, DALE CURTIS (MD)
Entity Type:Individual
Prefix:DR
First Name:DALE
Middle Name:CURTIS
Last Name:DAVIES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 W LAMBERTH RD STE D
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-2657
Mailing Address - Country:US
Mailing Address - Phone:903-957-7200
Mailing Address - Fax:903-957-0009
Practice Address - Street 1:115 W LAMBERTH RD STE D
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-2657
Practice Address - Country:US
Practice Address - Phone:903-957-7200
Practice Address - Fax:903-957-0009
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2019-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1409207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0020NYOtherBLUE CROSS BLUE SHIELD
TX029416701Medicaid
TX029416701Medicaid