EDDIE DAVIS DPM PLLC NPI 1114179884

NPI Information

  • NPI: 1114179884
  • Provider Name: EDDIE DAVIS, DPM, PLLC
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 109 GALLERY CIR STE 119
    SAN ANTONIO, TX
    ZIP 78258
  • Phone: (210) 490-3668

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NPI Details

EDDIE DAVIS, DPM, PLLC is a podiatrist in San Antonio, TX. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. EDDIE DAVIS, DPM, PLLC NPI is 1114179884. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

109 GALLERY CIR STE 119
SAN ANTONIO, TX
ZIP 78258-328
Phone: (210) 490-3668
Fax: (210) 267-5262

The provider's authorized official is Eddie Davis .
The authorized official title is Physician and has the following contact phone number (210) 490-3668.

The enumeration date for this NPI number is 10/14/2008 and was last updated on 2/26/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristYes
2213ES0103XPodiatristFoot & Ankle SurgeryNo
3332B00000XDurable Medical Equipment & Medical SuppliesNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12094732 GROUPMEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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