Davis, Glenn R
Davis, Glenn R is an individual health care provider with primary practice located at 2255 E Mossy Oaks Rd Ste 680 , Spring TX 77389-1812. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Davis, Glenn R can be contacted via phone (281) 537-0300.Contact Information
Primary practice address
2255 E Mossy Oaks Rd Ste 680
Spring TX 77389-1812
Phone: (281) 537-0300
Fax: (281) 537-0315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 38899 | Oklahoma |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | K5503 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | K5503 | Texas |
Profile Details
| NPI number | 1003806431 |
|---|---|
| LBN Legal business name | Davis, Glenn R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Oct 17th, 2022 - about 3 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 | 1003806431 | NPPES |
| Texas | Other | 110240334 | MEDICARE RAILROAD PIN |
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