Ryan Davidson, CRNA
Nurse Anesthetist, Certified Registered in Dallas, TX. Individual provider (NPI-1).
Details
- NPI
- 1699196576
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ryan Davidson
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 19, 2013
- Certification date
- Apr 28, 2020
- Last updated
- Apr 28, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP124916 | TX | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | 806849 | TX |
Practice location
6606 Lbj FwySuite 200
Dallas, TX 75240
Phone 972-715-5000 · Fax 972-715-9976
Mailing address
Po Box 840853Dallas, TX 75284-0853
Phone 972-233-1999 · Fax 972-233-3666
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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