Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 2005016376 | MO |
Y | 2080P0203X | Pediatric Critical Care Doctor | Q1127 | TX |
N | 2080P0208X | Pediatric Infectious Diseases | Q1127 | TX |
NPI | 1316115777 |
---|---|
Provider Name | Dr. Samuel Zachary Davila |
First Address | Dallas, TX 75284-5347 |
Second Address | Dallas, TX 75390-7208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2008 |
Last Update Date | 06/01/2021 |