Doctor Name: | DR. CARL T DAVIDSON |
NPI Number: | 1477641785 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 4220 |
Business Practice Address: | 1319 W 22nd St Odessa, TX - 797632406 |
Business Phone Number: | 4323327882 |
Business Fax Number: | 4323322446 |
Mailing Address: | 1319 W 22nd St, ODESSA |
State: | TX |
Postal Code: | 797632406 |
Phone Number: | 4323327882 |
Fax Number: | 4323322446 |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 08/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261Q00000X |
License Number: | 4220 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | |
Taxonomy 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., radiology, poor, and public health). |