Justin R Davis
MD | Pediatric Emergency Medicine | Male
Justin R Davis, MD is a Lubbock, Texas based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Justin R Davis is
4015 22nd Pl, Lubbock, Texas - 79410-1119. He can be contacted on phone at
806-725-0030 and fax number 806-725-0015.
Justin R Davis is a sole proprietor of his business.
NPI number (Unique professional ID) for Justin R Davis is
1629282496 which was assigned by NPPES on 10 May, 2007 and it was last updated on 14 Feb, 2023.
Justin R Davis license number is
R4957 for Pediatrics, Pediatric Emergency Medicine (2080P0204X) in Texas.
Justin R Davis has special qualifications to manage emergencies in infants and children.
Complete Profile:
Justin R Davis basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Emergency Medicine |
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| Provider Name : | Justin R Davis |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Justin R Davis address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4015 22nd Pl
Lubbock, TX, 79410-1119
United States |
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| Phone Number : | 806-725-0030 |
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| Fax Number : | 806-725-0015 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1629282496 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 May, 2007 |
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| Last Updated On : | 14 Feb, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Justin R Davis are as mentioned. Primary taxonomy code for Justin R Davis, MD is
2080P0204X (Pediatrics, Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 2012004798 | MO |
| 208000000X | Pediatrics | No | 04-35493 | KS |
| 2080P0204X | Pediatrics, Pediatric Emergency Medicine | No | 23806 | MS |
| 2080P0204X | Pediatrics, Pediatric Emergency Medicine | Yes | R4957 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Justin R Davis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 02683804 | MEDICAID | MS | |
| 424599YJ5D | MEDICARE PIN | MS | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
2500 N STATE ST,
JACKSON, MS, 39216-4500
United States | JACKSON, MS | 601-984-2195 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2500 N State St
Jackson, MS, 39216-4500
United States |
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| Phone Number : | 601-984-2195 |
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Business Location:
Patients can refer following map for directions to
Justin R Davis practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.