Davis, Ronald Stephen

Davis, Ronald Stephen is an individual health care provider with primary practice located at 1303 Mccullough Ave #525, San Antonio TX 78212-5609. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Davis, Ronald Stephen can be contacted via phone (210) 225-2769.

Contact Information

Primary practice address
1303 Mccullough Ave #525 San Antonio TX 78212-5609
Phone: (210) 225-2769
Fax: (210) 225-7576
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G0686 Texas
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD.013075 Louisiana

Profile Details

NPI number 1497770572
LBN Legal business name Davis, Ronald Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Feb 14th, 2017 - about 9 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 1497770572 NPPES
Louisiana MEDICAID 1010189

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