EDDIE DAVIS DPM PLLC NPI 1114179884

NPI Information

NPI: 1114179884
Provider Name: EDDIE DAVIS, DPM, PLLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
109 GALLERY CIR STE 119
SAN ANTONIO, TX
ZIP 78258
Phone: (210) 490-3668
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EDDIE DAVIS, DPM, PLLC is a foot and ankle surgery podiatrist in San Antonio, TX. EDDIE DAVIS, DPM, PLLC NPI is 1114179884. The provider is registered as an organization entity type and is a single 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 11/20/2020.

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
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	1818	TEXAS	Yes

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
1	2094732 GROUP	MEDICAID	TEXAS

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: 4/28/2024

NPI Synchronization or Removal

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