Davis, Mayli L

Davis, Mayli L is an sole proprietor health care provider with primary practice located at 6208 Colleyville Boulevard Suite 100, Colleyville TX 76034-6228. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is her primary health care specialty. Davis, Mayli L can be contacted via phone (817) 329-4480.

Contact Information

Primary practice address
6208 Colleyville Boulevard Suite 100 Colleyville TX 76034-6228
Phone: (817) 329-4480
Fax: (817) 488-5993
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X J5739 Texas
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X J5739 Texas

Profile Details

NPI number 1033192513
LBN Legal business name Davis, Mayli L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2005
Last updated Jun 14th, 2021 - about 5 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 1033192513 NPPES
Texas Other 3344906 BCBS BLUE LINK NUMBER
Texas MEDICAID 10022132 BCBS BLUE LINK NUMBER
Texas Other 4589684 BCBS BLUE LINK NUMBER
Texas Other 8A6670 BCBS BLUE LINK NUMBER
Texas Other 0067EZ BCBS BLUE LINK NUMBER
Texas MEDICAID 127504201 BCBS BLUE LINK NUMBER

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