Davis, Steven G

Davis, Steven G is an sole proprietor health care provider with primary practice located at 1600 W College St Ste 130 , Grapevine TX 76051-3575. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Davis, Steven G can be contacted via phone (214) 689-7806.

Contact Information

Primary practice address
1600 W College St Ste 130 Grapevine TX 76051-3575
Fax: (214) 689-5970
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 207RI00011X Texas
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X H7719 Texas

Profile Details

NPI number 1659352045
LBN Legal business name Davis, Steven G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 11th, 2005
Last updated Jun 16th, 2023 - about 2 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 1659352045 NPPES
Texas MEDICAID 135885509

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