Eddie Davis Dpm Pllc
NPI #1780578872 in San Antonio, Texas
Provider Information
- NPI Number
- 1780578872
- Entity Type
- Organization
- Organization Name
- Eddie Davis Dpm Pllc
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Jun 4, 2025
- Last Updated
- Jun 4, 2025
Practice Location
- Address
- 109 GALLERY CIR STE 119
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78258-3328
- Phone
- (210) 490-3668
Authorized Official
- Name
- ROSALIE KREIGHBAUM
- Title
- REGIONAL CREDENTIALING SPECIALIST
- Phone
- (314) 909-1920
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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