Provider Demographics
NPI:1144245549
Name:DAVIS, DAVID F (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:F
Last Name:DAVIS
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 1:425 N HIGHLAND AVE
Mailing Address - Street 2:STE 120
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-7383
Mailing Address - Country:US
Mailing Address - Phone:903-893-0742
Mailing Address - Fax:903-893-5336
Practice Address - Street 1:425 N HIGHLAND AVE
Practice Address - Street 2:STE 120
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-7383
Practice Address - Country:US
Practice Address - Phone:903-361-7869
Practice Address - Fax:903-598-7726
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE6316207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX123432-005Medicaid
TX123432-005Medicaid
TX00248QMedicare PIN
TXC15074Medicare UPIN
TXTXB146154Medicare PIN
TXTXB146152Medicare PIN