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Kevin Davis, PA-C
NPI 1750739405 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1306 13th St
Bridgeport, TX 76426 - Phone
- (940) 648-1402
- Fax
- (940) 648-1400
- Organisation at this address
- Virtue Medical Group, Llc
Wise County Medical & Surgical AssociationInferred from a shared address, not stated in the registry.
Additional practice sites
- 111 W 5th St, Justin, TX
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 207Q00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas