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Contact Information

BRAD R DAVIS, MD
801 E PLANO PKWY
SUITE 100
PLANO, TX75074-6746
 Phone: 972-422-5941
 Fax: 972-881-4390
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for BRAD R DAVIS · (Male)

NPI # 1154308120
Status Active
Credentials MD
Entity Individual
Enumeration date 12/29/2005
Last updated 04/03/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • TX License # L7704
  • TX Medicaid 166819601
  • TX Medicaid 166819602
  • TX Medicaid 166819603
  • TX Medicaid 166819604
  • TX Medicaid 166819605
  • TX Other 8M8930 BCBS
  • TX Other 166819606 MEDICAID CSHCN
  • TX Other 166819607 MEDICAID CSHCN
  • TX Other 166819608 MEDICAID CSHCN
Hospital affiliation(s)
  • BAYLOR REGIONAL MEDICAL CENTER AT PLANO - (Acute Care)
    4700 ALLIANCE BOULEVARD
    PLANO, TX 75093
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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