Davis, Garry Todd
Davis, Garry Todd is an sole proprietor health care provider with primary practice located at 10201 Highway 16 , Comanche TX 76442-4462. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Davis, Garry Todd can be contacted via phone (254) 879-4910.Contact Information
Primary practice address
10201 Highway 16
Comanche TX 76442-4462
Phone: (254) 879-4910
Fax: (254) 879-4991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | L6344 | Texas |
Profile Details
| NPI number | 1699748434 |
|---|---|
| LBN Legal business name | Davis, Garry Todd |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Jun 28th, 2008 - about 18 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 | 1699748434 | NPPES |
| Texas | Other | P00364190 | RR MEDICARE |
| Texas | MEDICAID | 160855603 | RR MEDICARE |
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