Davidhizar Medical, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

DAVIDHIZAR MEDICAL, PLLC

Doing business as

MyMDbcs

Practice address

4030 Highway 6 S
Suite 250
College Station, TX 77845-1805

Phone

(979) 209-0458

Fax

(979) 485-9901

NPI assigned

Aug 29, 2014

Last updated

Aug 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Davidhizar, M.D.NPI 1922392430

Title

Managing Member

Phone

(979) 209-0458

Specialties & licenses 1

Addresses

Other names 1

• MyMDbcs Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John D Davidhizar Jr., MD

  • Family Medicine Physician
  • Bryan, TX
  • NPI 1922392430
  NPD (past) Authorized official

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1558761304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 HIGHWAY 6 S STE 250",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778451802",
            "telephone_number": "979-209-0458",
            "fax_number": "979-485-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 HIGHWAY 6 S",
            "address_2": "SUITE 250",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778451805",
            "telephone_number": "979-209-0458",
            "fax_number": "979-485-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDHIZAR MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "DAVIDHIZAR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "979-209-0458",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyMDbcs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Floyd R Daughters, ATC, LAT
• Stephanie Ann Davenport, CRNA
• David M. Berzon, MD,PA
• David M. Dranetz, M.D., P.L.L.C.
• David Meduna, M.D., P.a.
• Alexandra Kaitlynn Davila, RD, LD
• Davis P Buras MD PA
• Carol Jean Davis-Rios, LCSW
• Aika Elyn Davis
• Caitlyn Davis

• Primary Care Clinic/Center in College Station, TX
• Providers in College Station, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.