Davis, William Grant

Davis, William Grant is an individual health care provider with primary practice located at 800 E. Dawson Trinity Mother Frances Hospital, Tyler TX 75701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Davis, William Grant can be contacted via phone (512) 814-0298.

Contact Information

Primary practice address
800 E. Dawson Trinity Mother Frances Hospital Tyler TX 75701
Fax: (512) 597-2713
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X N8181 Texas

Profile Details

NPI number 1578504007
LBN Legal business name Davis, William Grant
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Oct 31st, 2014 - about 10 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 1578504007 NPPES
Texas Other TXB134816 MEDICARE
Texas MEDICAID 0808107 MEDICARE

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