| J Chad Davis, MD | |
|
3560 Delaware St Ste 1202, Beaumont, TX 77706-3061 | |
| (409) 363-5711 | |
| (409) 363-5712 |
| Full Name | J Chad Davis |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Critical Care Medicine |
| Location | 3560 Delaware St Ste 1202, Beaumont, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205928975 | NPI | - | NPPES |
| 124547408 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0203X | Pediatrics - Pediatric Critical Care Medicine | K1998 (Texas) | Primary |
| Entity Name | Utmb Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
| Mailing Address | Practice Location Address |
|---|---|
| J Chad Davis, MD Po Box 7446, Beaumont, TX 77726-7446 Ph: (409) 363-5711 | J Chad Davis, MD 3560 Delaware St Ste 1202, Beaumont, TX 77706-3061 Ph: (409) 363-5711 |
Dr. Ramona Susan Ataya-dakour, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3070 College St Ste 205, Beaumont, TX 77701 Phone: 409-832-1225 Fax: 409-832-0927 | |
Ariel Scott, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3330 Fannin St, Beaumont, TX 77701 Phone: 409-832-3304 | |
Melissa Kay Ghorayeb, LVN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3330 Fannin St, Beaumont, TX 77701 Phone: 409-832-3304 | |
Kelli Brooke Brooks, MSN, NNP-BC Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2830 Calder St, Beaumont, TX 77702 Phone: 409-892-7171 | |
Kamaljit Singh, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2830 Calder St, Beaumont, TX 77702 Phone: 409-550-6777 | |
Dr. Robert B Dundas, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4450 Highland Ave, Beaumont, TX 77705 Phone: 409-832-1924 Fax: 713-523-4897 | |
Nathan R Roesler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3127 College St, Beaumont, TX 77701 Phone: 409-899-1433 Fax: 409-981-9086 |