Robert Davidson, M.D.
Individual provider Active NPI Internal Medicine Physician · Gladewater, TX
NPI 1497869804 · NPPES record last updated Feb 19, 2008
Key facts
- NPI
- 1497869804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- H2328 (TX)
- Practice address
- 307 W Upshur Ave
Gladewater, TX 75647-2121 - Phone
- (903) 845-2159
- Fax
- (903) 845-5451
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phynet, Inc. | Past | Accepting new patients | |
| East Texas Treatment Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | H2328 | TX | Yes |
Addresses
Primary practice location
307 W Upshur Ave
Gladewater, TX 75647-2121
Mailing address
4002 Technology Ctr
Longview, TX 75605-2697
Phone (903) 247-0484
Other providers in Gladewater, TX
- Collect Memories at Home LLC
- Jordan Davis Corpier
- Angela Brooke Cox
- CVS Pharmacy Inc
- Augusta Helene Daughtry
- Easttexrx LLC
- Errands for All, LLC
- Kathleen Michelle Eudy
- Sharon Evers
- Fannin County Hospital Authority
All providers in Gladewater, TX · Internal Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.