| Mary Davidson, MD | |
| 
					1705 Jackson St, Richmond, TX 77469-3246  | |
| (616) 734-0335 | |
| (616) 949-8540 | 
| Full Name | Mary Davidson | 
|---|---|
| Gender | Female | 
| Speciality | Emergency Medicine | 
| Location | 1705 Jackson St, Richmond, Texas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1497827851 | NPI | - | NPPES | 
| 138435613 | Medicaid | TX | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | J5153 (Texas) | Primary | 
| Entity Name | St Joseph Emergency Physicians Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1326324047 PECOS PAC ID: 2163698929 Enrollment ID: O20111228000136  | 
| 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  | 
| Entity Name | Sterling Initiatives | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1326452947 PECOS PAC ID: 6709100811 Enrollment ID: O20150121000251  | 
| Entity Name | Integrative Emergency Services Physician Group-houston Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1801458708 PECOS PAC ID: 7113258500 Enrollment ID: O20191016002208  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mary Davidson, MD Po Box 8129, Kentwood, MI 49518-8129 Ph: (616) 734-0335  | Mary Davidson, MD 1705 Jackson St, Richmond, TX 77469-3246 Ph: (616) 734-0335  | 
Neal Kumar Agarwal, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7051 Fm 1464 Rd Rm 317, Richmond, TX 77407 Phone: 128-176-6381  | |
Mark Cesta, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1705 Jackson St, Richmond, TX 77469 Phone: 616-734-0335  | |
Dr. Benjamin E Oei, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1705 Jackson St, Richmond, TX 77469 Phone: 281-341-4818  | |
Dr. Rajan U Popat, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17707 Galloway Forest Dr, Richmond, TX 77407 Phone: 248-763-3681  | |
Reilly Talbot,  Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7051 Fm 1464 Rd Ste A, Richmond, TX 77407 Phone: 281-766-3811  | |
Karen Richardson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1705 Jackson St, Richmond, TX 77469 Phone: 616-734-0335  |