Individual provider · NPI-1

Dr. Ryan R Davies, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) · Dallas, TX

NPI number1780688291
StatusActive
Last updated in NPPESDec 4, 2017

Details

NPI
1780688291
Entity type
Individual (NPI-1)
Name
Dr. Ryan R Davies
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 13, 2005
Last updated
Dec 4, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)R3497TXYes
208600000X Surgery231289NY
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)231289NY
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)a110460CA
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)C10009649DE

Practice location

1935 Medical District Dr # Mcb3.410
Dallas, TX 75235-7701

Phone 214-456-5000 · Fax 214-456-5015

Mailing address

1935 Medical District Dr,
Mc B3.410
Dallas, TX 75235-7701

Phone 214-456-5000 · Fax 302-456-5015

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