Dr. Donald D Davenport Jr., D.O.
Surgery in Odessa, TX. Individual provider (NPI-1).
NPI number1982608964
StatusActive
Last updated in NPPESOct 11, 2007
Details
- NPI
- 1982608964
- Entity type
- Individual (NPI-1)
- Name
- Dr. Donald D Davenport Jr.
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2005
- Last updated
- Oct 11, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | L0118 | TX | Yes |
| 2086S0102X | Surgery, Surgical Critical Care | L0118 | TX | |
| 2086S0120X | Surgery, Pediatric Surgery | L0118 | TX | |
| 2086S0127X | Surgery, Trauma Surgery | L0118 | TX | |
| 208C00000X | Colon & Rectal Surgery | L0118 | TX | |
| 2086X0206X | Surgery, Surgical Oncology | L0118 | TX |
Practice location
540 W 5th StSte 470
Odessa, TX 79761-5070
Phone 432-580-8330
Mailing address
540 W 5th St Ste 470Odessa, TX 79761-5070
Phone 432-580-8330 · Fax 432-580-8333
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