Davidson, Mary

Davidson, Mary is an individual health care provider with primary practice located at 1705 Jackson St , Richmond TX 77469-3246. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Davidson, Mary can be contacted via phone (616) 734-0335.

Contact Information

Primary practice address
1705 Jackson St Richmond TX 77469-3246
Phone: (616) 734-0335
Fax: (616) 949-8540
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X J5153 Texas

Profile Details

NPI number 1497827851
LBN Legal business name Davidson, Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Nov 14th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497827851 NPPES
Texas MEDICAID 138435613

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