Brent O'Bryan Davis in Tyler - Interventional Cardiology
Brent O'Bryan Davis - NPI 1871588012
Brent O'Bryan Davis is a Interventional Cardiology in Tyler, Texas. Brent O'Bryan Davis practices all healthcare services and medical treatments related to Interventional Cardiology. The NPI Number for Brent O'Bryan Davis is 1871588012. The last update date is 2017-04-26.
Brent O'Bryan Davis's current location address is 619 S Fleishel Ave, Tyler, Texas. You can contact this provider via phone number 9035955514. The mailing address for Brent O'Bryan Davis is 619 S Fleishel Ave, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent O'Bryan Davis |
|---|---|
| Address | 619 S Fleishel Ave, Tyler, Texas |
| Phone Number | 9035955514 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1871588012 |
|---|---|
| Provider Enumeration Date | 2005-09-14 |
| Last Updated Date | 2017-04-26 |
Provider Mailing Address Detail
| Address | 619 S Fleishel Ave |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757012004 |
| Phone Number | 9035955514 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Interventional Cardiology |
|---|---|
| Taxonomy | 207Ri0011X |
| Licence No | L8663 |
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Definition: An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medicat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 244841403 | TX | UNITED HEALTHCARE | |
| 8G7381 | TX | BCBS | |
| 166213201 | TX | -- | |
| 7571606 | TX | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Brent O'Bryan Davis by the Centers for Medicare & Medicaid Services?
The Brent O'Bryan Davis has been issued the NPI (National Provider Identifier) 1871588012 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Brent O'Bryan Davis is physically located?
The Brent O'Bryan Davis is situated at the following address: 619 S Fleishel Ave, Tyler, TX 757012004.
What is Brent O'Bryan Davis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brent O'Bryan Davis's area of specialization is Interventional Cardiology, and the corresponding taxonomy code that categorizes this field of practice is 207Ri0011X.
On what date did the Centers for Medicare & Medicaid Services issue the 1871588012 to Brent O'Bryan Davis?
The Brent O'Bryan Davis received its 1871588012 assignment from the Centers for Medicare & Medicaid Services on 2005-09-14.
As of what date were the Brent O'Bryan Davis's details last updated?
The information pertaining to the Brent O'Bryan Davis, including its address, specialty, and other details, was most recently updated on 2017-04-26.