Davenport, Donald D
Davenport, Donald D is an individual health care provider with primary practice located at 540 W 5Th St Ste 470, Odessa TX 79761-5070. He recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Pediatric Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Davenport, Donald D can be contacted via phone (432) 580-8330.Contact Information
Primary practice address
540 W 5Th St Ste 470
Odessa TX 79761-5070
Phone: (432) 580-8330
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | L0118 | Texas |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | L0118 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | L0118 | Texas |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | L0118 | Texas |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | L0118 | Texas |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | L0118 | Texas |
Profile Details
| NPI number | 1982608964 |
|---|---|
| LBN Legal business name | Davenport, Donald D |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2005 |
| Last updated | Oct 11th, 2007 - about 17 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 | 1982608964 | NPPES |
| Texas | Other | 8F0641 | BLUE CROSS PRIVIDER # |
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