Davis, Bryan Mark

Davis, Bryan Mark is an sole proprietor health care provider with primary practice located at 230 Mesa Verde Dr. , Center Point TX 78010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Davis, Bryan Mark can be contacted via phone (830) 634-2212.

Contact Information

Primary practice address
230 Mesa Verde Dr. Center Point TX 78010
Phone: (830) 634-2212
Fax: (830) 634-7820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5634 Arizona
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X N7611 Texas

Profile Details

NPI number 1578790473
LBN Legal business name Davis, Bryan Mark
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2009
Last updated Jul 8th, 2020 - 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 1578790473 NPPES
Arizona MEDICAID 620864

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