Individual provider · Type 1 NPI

Mark D. Davis, PA-C

Medical Physician Assistant · Fort Worth, TX

NPI number 1679580435 Active

Practice location

6500 Harris Pkwy
Fort Worth, TX 76132-4136

Call (817) 263-2600 Map

Fax (817) 263-2805

Mailing address

PO Box 911230
Dallas, TX 75391-1230

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X5601004142 (MI)
Physician Assistant 363A00000XPA06442 (TX)
Medical Physician Assistant Primary 363AM0700XPA06442 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1679580435

Mark D. Davis, PA-C's National Provider Identifier is 1679580435, issued on Aug 2, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Worth, TX. The record was last updated on Jun 1, 2023.