Provider Demographics
NPI:1952183543
Name:DAVAM FAMILY MEDICINE PLLC
Entity Type:Organization
Organization Name:DAVAM FAMILY MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPANY MANAGER/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAYMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARABZADEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-444-7477
Mailing Address - Street 1:PO BOX 8129
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77387-8129
Mailing Address - Country:US
Mailing Address - Phone:713-487-3031
Mailing Address - Fax:
Practice Address - Street 1:6018 FM 1488 RD
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-2542
Practice Address - Country:US
Practice Address - Phone:713-487-3031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty