| Mark Owen Davis, MD | |
|
3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | |
| (800) 893-9698 | |
| Not Available |
| Full Name | Mark Owen Davis |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 3501 Knickerbocker Rd, San Angelo, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831129097 | NPI | - | NPPES |
| DA8V0608 | Other | TX | BLUE SHIELD |
| 139438919 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | F9353 (Texas) | Primary |
| Entity Name | Seminole Hospital District Of Gaines County Texas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821025990 PECOS PAC ID: 2668382516 Enrollment ID: O20040428000104 |
| Entity Name | Texas Emergency Staffing Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811942949 PECOS PAC ID: 0345297610 Enrollment ID: O20050407001290 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Comanche County Medical Center Company |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346544616 PECOS PAC ID: 3678753357 Enrollment ID: O20110825000076 |
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Owen Davis, MD 2502 Nasworthy Dr, San Angelo, TX 76904-5423 Ph: (325) 949-0413 | Mark Owen Davis, MD 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 Ph: (800) 893-9698 |
Dr. Yaseen Saleh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-747-6741 | |
Dr. Lance Eliot Hafter, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-747-6741 Fax: 325-747-8435 | |
Michael Patrick Strayer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3501 Kinickerbocker Rd, San Angelo, TX 76904 Phone: 800-893-9698 | |
Marvin Walter Carroll, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3501 Knickerbocker Rd, San Angelo, TX 76904 Phone: 800-893-9698 | |
Dr. Scott David Hodge, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-653-6741 | |
Dr. Samuel Joseph Kasberg, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3501 Knickerbocker, San Angelo Community Medical Center, San Angelo, TX 76904 Phone: 325-947-6960 Fax: 325-947-6968 | |
Dr. James Gregory Vretis Ii, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-658-1511 Fax: 325-481-2166 |