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
Phone: (512) 814-0298
Fax: (512) 597-2713
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578504007 | NPPES |
Texas | Other | TXB134816 | MEDICARE |
Texas | MEDICAID | 0808107 | MEDICARE |
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