GLENN MONROE DAVIS MD NPI 1225092018

NPI Information

NPI: 1225092018
Provider Name: GLENN MONROE DAVIS, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965
Phone: (936) 569-9481
Get Directions

Glenn Monroe Davis, MD is a diagnostic radiology radiology in Nacogdoches, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Glenn Monroe Davis, MD NPI is 1225092018. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965-254
Phone: (936) 569-9481

The enumeration date for this NPI number is 4/17/2006 and was last updated on 12/1/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	E6317	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	132172109	MEDICAID	TEXAS
2	C15091	MEDICARE UPIN
3	P00760462	MEDICARE PIN	TEXAS
4	8L12643	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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