Organization Active NPI

Michael K Davidson, M.D.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1407070477
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MICHAEL K DAVIDSON, M.D.
Practice address
1315 St Joseph Pkwy Ste 1503
Houston, TX 77002-8237
Phone
(713) 655-0073
Fax
(713) 655-1332
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael Davidson, M.D.
Title
Owner
Phone
(713) 655-0073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1315 St Joseph Pkwy Ste 1503
Houston, TX 77002-8237

Mailing address

1315 St Joseph Pkwy Ste 1503
Houston, TX 77002-8237
Phone (713) 655-0073

National Provider Directory

National Provider Directory

Locations

1315 St Joseph Pkwy
Ste 1503
Houston, TX 77002
Phone (713) 655-0073

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407070477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY STE 1503",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028237",
            "telephone_number": "713-655-0073",
            "fax_number": "713-655-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY STE 1503",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028237",
            "telephone_number": "713-655-0073",
            "fax_number": "713-655-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL K DAVIDSON, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-655-0073",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.