Eddie Davis, Dpm, Pllc

LBN: Eddie Davis, Dpm, Pllc
Eddie Davis, Dpm, Pllc is an health care organization with primary practice located at 109 Gallery Cir Ste 119 , San Antonio TX 78258-3328. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Eddie Davis, Dpm, Pllc can be contacted via phone (210) 490-3668, or through Davis, Eddie via phone (210) 490-3668.

Contact Information

Primary practice address
109 Gallery Cir Ste 119 San Antonio TX 78258-3328
Phone: (210) 490-3668
Fax: (210) 267-5262
Website:
Map and Directions
Authorized official contact:
Name: Davis, Eddie
Phone: (210) 490-3668

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 1818 Texas

Profile Details

NPI number 1114179884
LBN Legal business name Eddie Davis, Dpm, Pllc
DBA Doing business as
Authorized official Davis, Eddie
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2008
Last updated Nov 20th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114179884 NPPES
Texas MEDICAID 2094732 GROUP

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