| Doctor Name: | PHILIP M DAVIS |
| NPI Number: | 1386058733 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 1379 |
| Business Practice Address: | 36000 Darnall Loop Carl R. Darnall Army Medical Center, Ft. Hood, TX - 76544 |
| Business Phone Number: | 2542867485 |
| Business Fax Number: | 2542867188 |
| Mailing Address: | 36000 Darnall Loop, Carl R. Darnall Army Medical Center FT. HOOD |
| State: | TX |
| Postal Code: | 76544 |
| Phone Number: | 2542867485 |
| Fax Number: | 2542867188 |
| NPI Enumeration Date: | 06/13/2014 |
| NPI Last Update Date: | 09/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 1379 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |