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Contact Information

LARRY J DAVIS, MD
6901 MEDICAL PARKWAY
WACO, TX76712
 Phone: 254-582-7481
 Fax: 254-582-2199
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
Indicates primary specialty

NPI Profile & details for LARRY J DAVIS · (Male)

NPI # 1285600668
Status Active
Credentials MD
Entity Individual
Enumeration date 02/27/2006
Last updated 05/29/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • TX License # C15087
  • TX Medicaid 102739301
  • TX Medicaid 102739304
  • TX Other 8X5373 BLUE CROSS BLUE SHIELD
Hospital affiliation(s)
  • PROVIDENCE HEALTH CENTER - (Acute Care)
    6901 MEDICAL PARKWAY
    WACO, TX 76712
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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