Davis, Bryan W
Davis, Bryan W is an sole proprietor health care provider with primary practice located at 129 Creekbend Blvd , Nacogdoches TX 75965-1781. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Davis, Bryan W can be contacted via phone (936) 205-5949.Contact Information
Primary practice address
129 Creekbend Blvd
Nacogdoches TX 75965-1781
Phone: (936) 205-5949
Fax: (936) 205-5953
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | L3948 | Texas |
Profile Details
| NPI number | 1295760080 |
|---|---|
| LBN Legal business name | Davis, Bryan W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Oct 7th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295760080 | NPPES |
| Texas | MEDICAID | 154032004 |
Popular Providers
-
Tracy, Richard Edward
1401 S University Dr , Nacogdoches TX 75961-6488 -
Riggs, Brenda J
1204 N Mound St , Nacogdoches TX 75961-4027 -
Labarbera, Philip Theodore
4944 Ne Stallings Dr , Nacogdoches TX 75965-1265 -
Davis, Carl Alexander
613 Russell Blvd , Nacogdoches TX 75965-1247 -
White, Toni Irene
4848 Ne Stallings Dr Ste 104 Suite 104, Nacogdoches TX 75965-1256 -
Robinson, Lawrence Quinn
1204 N Mound St , Nacogdoches TX 75961-4027 -
Curtis, Michele Sprechman
1204 N Mound St , Nacogdoches TX 75961-4027 -
Stephens, Kevin Wayne
1018 N Mound St Ste 101 , Nacogdoches TX 75961-4434