DR. RANDY JOHN DAVIS (NPI# 1952541088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952541088 |
| Entity Type | Individual |
| Full Name | DR. RANDY JOHN DAVIS |
| Credential | D.O. |
| Practice Address |
3750 S University Dr Suite 202 Fort Worth TX 76109-3795 |
| Mailing Address |
919w Randol Mill Rd Arlington TX 76012-2511 |
| Practice Telephone | 8179241000 |
| Mailing Telephone | 8175027411 |
| Mailing Fax Number | 8175027412 |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2015-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | N2053 | TX | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322917 | Randy Lee Davis | Technician | 511 Dickerson Street Apt. #7, Williamson, WV 25661 | 2020-10-05 |
| 1285851873 | Randy Lee Davis | Dentist | 429 W. Southline St. Suite#900, Cleveland, TX 77327 | 2007-04-18 |
| 1215956529 | Randy Frank Davis | Orthopaedic Surgery | 3500 Boston St Ste J2, Baltimore, MD 21224-5251 | 2006-07-18 |
| 1730734328 | Randy Donohue Davis | Technician | 3634 Seneca Highland, North Las Vegas, NV 89032 | 2019-08-09 |
| 1427590041 | Randy Davis | Physical Therapist | 1102 W Main St, Laurens, SC 29360-2610 | 2016-11-14 |
| 1134143050 | Randy N Davis | Dentist | 1133 College Ave, Ste A 103, Manhattan, KS 66502-2770 | 2006-07-26 |
| Street Address |
3750 S UNIVERSITY DR SUITE 202 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76109-3795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801852256 | Adunni M. Morohunfola | Pediatrics | 3750 S University Dr, Suite 200, Fort Worth, TX 76109-3795 | 2006-04-25 |
| 1851699763 | Sharon Kay Bernardez | Physician Assistant | 3750 S University Dr, Suite 202, Fort Worth, TX 76109-3795 | 2011-03-02 |
| 1699090100 | Children's Dental Services of Texas, Pllc | Dentist | 3750 S University Dr, Fort Worth, TX 76109-3795 | 2010-03-29 |
| 1184809592 | Parkside Oasis Inc | Pharmacy | 3750 S University Dr, Suite 100, Fort Worth, TX 76109-3720 | 2008-01-03 |
| 1750404877 | Ali H Alavi | Internal Medicine | 3750 S University Dr, Suite 202, Fort Worth, TX 76109-3795 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881156164 | Elizabeth Laborde Dds Pllc | Clinic/Center | 5656 Edwards Ranch Rd, Fort Worth, TX 76109 | 2019-04-04 |
| 1992273965 | Debra Cooper Lantz | Occupational Therapist | 4252 Bryant Irvin Road, Fort Worth, TX 76109 | 2018-11-08 |
| 1417434119 | Dermatology Specialists of Fort Worth Pllc | Dermatology | 6100 Southwest Blvd., Suite 100, Fort Worth, TX 76109 | 2018-07-25 |
| 1417446709 | Eating Recovery Center of Texas, LLC | Clinic/Center | 4200 S. Hulen Street, Suite #436, Ft. Worth, TX 76109 | 2018-05-02 |
| 1245751742 | Marissa Izabel San Miguel | Optometrist | 5912 Convair Dr Ste 208, Fort Worth, TX 76109 | 2017-07-05 |
| 1174910111 | Parkway Dental Professionals | Preferred Provider Organization | 4200 Bryant Irvin Rd. Ste. 101, Fort Worth, TX 76109 | 2015-04-16 |
| 1831583095 | Deborah K Lehmann, M.d. | Clinic/Center | 6420 Southwest Blvd., #128, Fort Worth, TX 76109 | 2015-03-26 |
| 1184036428 | Ft Worth Ranch Assist, LLC | Neurological Surgery | 3516 Ranch View Terrace, Fort Worth, TX 76109 | 2014-05-21 |
| 1821435538 | Metx LLC | Hearing Instrument Specialist | 4618 Sw Loop 820, Fort Worth, TX 76109 | 2013-06-04 |
| 1356608087 | Virginia Flores | Social Worker | 4208 Ranier Ct, Fort Worth, TX 76109 | 2012-04-19 |
| Find all providers in zip 76109 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093334039 | Sport Is Religion | Specialist | 8641 Las Vegas Ct Apt 2722, Fort Worth, TX 76116-0044 | 2020-04-09 |
| 1518471986 | Tyrin W Holt | Specialist | 1540 Berckmans Rd, Fort Worth, TX 76120-1500 | 2017-11-21 |
| 1538567151 | Sarah Dimarco | Specialist | 3704 Staghorn Cir N, Fort Worth, TX 76137-6054 | 2014-12-13 |
| 1639581077 | Pre Diabetes Physician Services Inc | Specialist | 1307 8th Ave Ste 502, Fort Worth, TX 76104-4137 | 2014-05-20 |
| 1447661509 | Veronica C Zapata | Specialist | 1113 Nw 25th St, Fort Worth, TX 76164-6904 | 2014-05-12 |
| 1962835439 | Sara Syeda | Specialist | 7250 Hawkins View Dr Ste 410, Fort Worth, TX 76132-3932 | 2013-08-19 |
| 1750624417 | Jennifer C. Brooks, Md Pllc | Specialist | 909 9th Ave Ste 101, Fort Worth, TX 76104-3916 | 2013-04-01 |
| 1063766178 | Richard Eugene Smith | Specialist | 7162 Axis Ct, Fort Worth, TX 76132-3573 | 2012-10-29 |
| 1770831463 | Sharon A Guillory | Specialist | 5441 S Hulen Street, Dona's Wigs, Fort Worth, TX 76132 | 2012-08-28 |
| 1740537281 | Chu Eye Institute, P.a. | Specialist | 3017 W 7th St # 210, Fort Worth, TX 76107-2223 | 2012-08-14 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76109 |
Please comment or provide details below to improve the information on DR. RANDY JOHN DAVIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.