Andy J Davis (NPI# 1932214608, PAC ID# 4688778715) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1932214608 |
| PAC ID by PECOS | 4688778715 |
| Professional Enrollment ID | I20070329000671 |
| Full Name | Andy J Davis |
| Address |
123 Blue Heron Dr Suite 101 Montgomery TX 77316-3192 |
| Phone Number | 9365826000 |
| Gender | M |
| Credential | MD |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450222 | CONROE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 123 Blue Heron Dr, Suite 101, Montgomery, TX 77316-3192 | 9365826000 |
| Street Address |
123 BLUE HERON DR SUITE 101 |
| City | MONTGOMERY |
| State | TX |
| Zip | 77316-3192 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeana L Garris | Physician Assistant | Allergy and Ent Associates Pa | 123 Blue Heron Dr, Suite 101, Montgomery, TX 77316-3192 |
| Matthew Snyder | Optometry | 123 Blue Heron Dr, Suite 103, Montgomery, TX 77316-3192 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danita R Trees | Physical Therapy | 15513 Victorias Way, Montgomery, TX 77316 | |
| Tony W Deramus | Chiropractic | Sandstone Chiropratic, P.a. | 125 Blue Heron Dr B, Montgomery, TX 77316-3183 |
| Reese J Ochoa | Chiropractic | Sandstone Chiropratic, P.a. | 125 Blue Heron Dr B, Montgomery, TX 77316-3183 |
| City | MONTGOMERY |
| Zip Code | 77316 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | MONTGOMERY + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Andy J Davis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.