Davidson, Scott David
Davidson, Scott David is an individual health care provider with primary practice located at 1600 W College St Suite 140, Grapevine TX 76051-3580. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Davidson, Scott David can be contacted via phone (214) 826-6021.Contact Information
Primary practice address
1600 W College St Suite 140
Grapevine TX 76051-3580
Phone: (214) 826-6021
Fax: (214) 853-9415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | L0783 | Texas |
Profile Details
| NPI number | 1568495398 |
|---|---|
| LBN Legal business name | Davidson, Scott David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Jan 31st, 2017 - about 7 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 | 1568495398 | NPPES |
| Texas | MEDICAID | 164661403 | |
| Texas | MEDICAID | 164661402 | |
| Texas | Other | 164661403 | |
| Texas | MEDICAID | 164661404 |
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