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Contact Information

EDDIE DAVIS, DPM, PLLC
109 GALLERY CIR STE 119
SAN ANTONIO, TX78258-3328
 Phone: 210-490-3668
 Fax: 210-267-5262
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for EDDIE DAVIS, DPM, PLLC

NPI Number 1114179884
LBN Legal business name EDDIE DAVIS, DPM, PLLC
Authorized official EDDIE DAVIS - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 10/14/2008
Last updated 02/26/2025 - More than a year ago
Identifiers
TX Medicaid 2094732 GROUP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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