Garry Todd Davis, D.O.
Individual provider Active NPI Family Medicine Physician · Comanche, TX
NPI 1699748434 · NPPES record last updated Jun 28, 2008
Key facts
- NPI
- 1699748434
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- L6344 (TX)
- Practice address
- 10201 Highway 16
Comanche, TX 76442-4462 - Phone
- (254) 879-4910
- Fax
- (254) 879-4991
- NPI assigned
- Feb 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Texas Tech University Health Science Center School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Comanche County Medical Center Company
Practice addresses (Care Compare)
10201 Hwy 16
Comanche, TX 76442-4462
Phone (254) 879-4900
Hospital & facility affiliations
- Centerwell Home Health
- CMS-Kinder Hearts Home Health
- Stephen'S Health Care, Inc.
- Alpha Omega Hospice
- Comanche County Medical Center
- Hendrick Medical Center Brownwood
- Western Hills Healthcare Residence
- Legacy Estate Long Term Care
- De Leon Nursing and Rehabilitation
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031231000673 | TX | Practitioner - Family Practice | 7315846011 |
Reassigns benefits to 1 organization Practice locations: Comanche, TX |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L6344 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comanche County Medical Center Company | Past | Accepting new patients | |
| Comanche County Consolidated Hospital District | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L6344 | TX | Yes |
Addresses
Primary practice location
10201 Highway 16
Comanche, TX 76442-4462
Mailing address
PO Box 128
Comanche, TX 76442-0128
Phone (254) 879-4910
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00364190 | Other | TX | RR MEDICARE |
| 160855603 | Medicaid | TX |
Other providers in Comanche, TX
- Comanche Internal Medicine, PA
- Comanche Isd
- Cornerstone Family Medicine, PLLC
- Coryell County Memorial Hospital Authority
- Cynthia Newton, LCSW
- Lisa Marie Davis
- Mercedes Davis
- Sydney Reynolds Deal
- Stephen Howard Dickey
- Chayse Clark Dillard
All providers in Comanche, TX · Family 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 Jun 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.