| Michael L. Davis, M.D. P.A. | |
|
409 Glenwood St Ste 500 Glen Rose TX 76043-4933 | |
| (254) 897-3369 | |
| Not Available |
| Full Name | Michael L. Davis, M.D. P.A. |
|---|---|
| Speciality | Family Medicine |
| Location | 409 Glenwood St Ste 500, Glen Rose, Texas |
| Authorized Official Name and Position | Michael L Davis (OWNER) |
| Authorized Official Contact | 2548973369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael L. Davis, M.D. P.A. Po Box 1309 Glen Rose TX 76043-1309 Ph: (254) 897-3369 | Michael L. Davis, M.D. P.A. 409 Glenwood St Ste 500 Glen Rose TX 76043-4933 Ph: (254) 897-3369 |
| NPI Number | 1194985325 |
|---|---|
| Provider Enumeration Date | 06/11/2008 |
| Last Update Date | 06/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194985325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E2532 (Texas) | Primary |
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