| James R Davis, DO | |
|
5525 Hidden Meadow Dr, Mustang, OK 73064-9684 | |
| (405) 376-5121 | |
| Not Available |
| Full Name | James R Davis |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 5525 Hidden Meadow Dr, Mustang, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720074081 | NPI | - | NPPES |
| 100103050C | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 3657 (Oklahoma) | Secondary |
| 207P00000X | Emergency Medicine | 3657 (Oklahoma) | Primary |
| Entity Name | Emergency Services Of Oklahoma Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215249891 PECOS PAC ID: 8123209012 Enrollment ID: O20110225000085 |
| Entity Name | Oklahoma Emergency Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114239795 PECOS PAC ID: 3678757010 Enrollment ID: O20110411000211 |
| Mailing Address | Practice Location Address |
|---|---|
| James R Davis, DO 5525 Hidden Meadow Dr, Mustang, OK 73064-9684 Ph: (405) 376-5121 | James R Davis, DO 5525 Hidden Meadow Dr, Mustang, OK 73064-9684 Ph: (405) 376-5121 |
Randall L Henderson, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1208 W Camellia Way, Mustang, OK 73064 Phone: 405-314-5420 | |
Cody Rice, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7301 S Cimarron Rd, Mustang, OK 73064 Phone: 405-250-4110 |