Davis, Lendol L. 'Tad'

Davis, Lendol L. 'Tad' is an individual health care provider with primary practice located at 1902 S Ih 35 , Austin TX 78704-3628. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Davis, Lendol L. 'Tad' can be contacted via phone (512) 443-9595.

Contact Information

Primary practice address
1902 S Ih 35 Austin TX 78704-3628
Phone: (512) 443-9595
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X E0621 Texas
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X E6021 Texas

Profile Details

NPI number 1255336855
LBN Legal business name Davis, Lendol L. 'Tad'
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Jun 12th, 2024 - about 2 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 1255336855 NPPES
Texas MEDICAID 115863602

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