Carl T Davidson is a Clinic/center in Odessa, Texas. Carl T Davidson practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Carl T Davidson is 1477641785. The last update date is 2020-01-09.
Carl T Davidson's current location address is 1319 W 22nd St, Odessa, Texas. You can contact this provider via phone number 4323327882 and fax number 4323322446. The mailing address for Carl T Davidson is 1319 W 22nd St, Odessa, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carl T Davidson |
|---|---|
| Address | 1319 W 22nd St, Odessa, Texas |
| Phone Number | 4323327882 |
| Fax Number | 4323322446 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1477641785 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2020-01-09 |
Provider Mailing Address Detail
| Address | 1319 W 22nd St |
|---|---|
| City | Odessa |
| State | Texas (TX) |
| Post Code | 797632406 |
| Phone Number | 4323327882 |
| Fax Number | 4323322446 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 4220 |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4364012 | TX | AETNA | |
| 601581 | TX | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Carl T Davidson by the Centers for Medicare & Medicaid Services?
The Carl T Davidson has been assigned the NPI (National Provider Identifier) 1477641785 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Carl T Davidson's facilities are situated?
The facilities of Carl T Davidson are physically located at the following address: 1319 W 22Nd St, Odessa, TX, 797632406.
What is Carl T Davidson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Carl T Davidson's area of specialization is Clinic/center, and the corresponding taxonomy code that categorizes this field of practice is 261Q00000X.
On what date was the 1477641785 assigned to Carl T Davidson?
The Carl T Davidson was issued its 1477641785 on 2006-10-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Carl T Davidson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Carl T Davidson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-01-09.
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