Provider Demographics
NPI:1255313581
Name:DAVIS, JAMES DONALD (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:DONALD
Last Name:DAVIS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3312 N UNIVERSITY DR STE J
Mailing Address - Street 2:
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75965-2636
Mailing Address - Country:US
Mailing Address - Phone:936-560-2222
Mailing Address - Fax:936-569-1788
Practice Address - Street 1:717 GENERATIONS DR STE B
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-0009
Practice Address - Country:US
Practice Address - Phone:844-789-7246
Practice Address - Fax:888-880-9323
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-14
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ8185207L00000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX184657801Medicaid
TX8F2894Medicare PIN
TX184657801Medicaid