NPIMap

Organization Active NPI

Davis Health PA

  • Family Medicine Physician
  • Frisco, TX
National Provider Identifier
1063725356
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F9213 Issued in TX
Legal business name
DAVIS HEALTH PA
Doing business as
MedStream Wellness Medical Group
Practice address
2831 Eldorado Pkwy
Suite 103-303
Frisco, TX 75034-7438
Phone
(940) 488-5046
NPI assigned
Jul 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Vicki B Davis, M.D.
Title
Medical Director
Phone
(972) 377-2447

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X F9213 TX Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X F9213 TX

Addresses

Primary practice location

2831 Eldorado Pkwy
Suite 103-303
Frisco, TX 75034-7438

Mailing address

2831 Eldorado Pkwy
Suite 103-303
Frisco, TX 75034-7438
Phone (940) 488-5046

Other names 1

  • MedStream Wellness Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Davis Health PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1063725356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 ELDORADO PKWY",
            "address_2": "SUITE 103-303",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347438",
            "telephone_number": "940-488-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 ELDORADO PKWY",
            "address_2": "SUITE 103-303",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347438",
            "telephone_number": "940-488-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS HEALTH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "972-377-2447",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F9213",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F9213",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedStream Wellness Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.