Provider Demographics
NPI:1386627636
Name:DAVISON, THOMAS HOOKS (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:HOOKS
Last Name:DAVISON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 2289
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35804-2289
Mailing Address - Country:US
Mailing Address - Phone:256-536-9587
Mailing Address - Fax:256-536-9588
Practice Address - Street 1:2324 PANSY ST SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3803
Practice Address - Country:US
Practice Address - Phone:256-536-9587
Practice Address - Fax:256-536-9588
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL164172080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009905625Medicaid
AL131295Medicaid
ALF29134Medicare UPIN