David D. Davila, D.O., P.a.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

L9166 Issued in TX

Legal business name

DAVID D. DAVILA, D.O., P.A.

Practice address

110 Vintage Park Blvd Ste 280
Houston, TX 77070-4048

Phone

(281) 453-5100

Fax

(281) 453-5103

NPI assigned

Feb 23, 2016

Organization subpart

No

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

Authorized official

Name

Dr. David Davila, D.O.

Title

President

Phone

(281) 453-5100

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• America Stephanie Revere, MD

  • Surgery Physician
  • Houston, TX
  • NPI 1821613431
  NPD (past)

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1316306038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 VINTAGE PARK BLVD STE 280",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704048",
            "telephone_number": "281-453-5100",
            "fax_number": "281-453-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 VINTAGE PARK BLVD STE 280",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704048",
            "telephone_number": "281-453-5100",
            "fax_number": "281-453-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID D. DAVILA, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "DAVILA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-453-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "L9166",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "L9166",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David & Ivory Ministies, Inc.
• David Altamira MD PA
• David and Ly, LLC.
• David and Ly, LLC.
• David D Shin, MD PA
• David de Jongh DDS
• David E Holsey DDS Inc
• David E. Auer, M.D., P.a.
• David Fairweather MD PA
• David G. Vanderweide, MD, PA

• Surgery Physician in Houston, TX
• Providers in Houston, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.