| Organization Name: | D&F MED, LLC |
| NPI Number: | 1528413820 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CANDICE DAVIS (CLINIC SUPERVISOR) |
| Mailing Address: | 123 Busy Bee Alto |
| State: | TX US |
| Postal Code: | 75925 |
| Phone Number: | 9366420841 |
| Fax Number: | |
| NPI Enumeration Date: | 04/25/2016 |
| NPI Last Update Date: | 04/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA03871 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |