Mr. Jeffrey Fred Davang
Anesthesiologist
1501 E Mockingbird Ln 101
Victoria
, Texas 77904-2155
Mr. Jeffrey Fred Davang
Anesthesiologist
1501 E Mockingbird Ln 101
Victoria
, Texas 77904-2155
(979) 563-1693
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About
Features
Specialties
- Anesthesiologist
Languages spoken
- English
Location
First Address
- Mr. Jeffrey Fred Davang
- 3719 County Road 131
- Wharton, TX
- Zip : 77488-8535
- Fax : (979) 563-1693
- Phone : (713) 252-5200
Second Address
- Mr. Jeffrey Fred Davang
- 1501 E Mockingbird Ln 101
- Victoria, TX
- Zip : 77904-2155
- Fax : (361) 576-2434
- Phone : (361) 573-2481
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207L00000X | Anesthesiologist | 642422 | TX |
National Provider Identifier
| NPI | 1003806464 |
|---|---|
| Provider Name | Mr. Jeffrey Fred Davang |
| First Address | Wharton, TX 77488-8535 |
| Second Address | Victoria, TX 77904-2155 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/10/2005 |
| Last Update Date | 05/08/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 052983 | RECERTIFICATION (01) | TX |
| 151044802 | (05) | TX |
| 83842U | BLUE CROSS/BLUE SHIELD (01) | TX |
| P00090293 | RAILROAD MEDICARE (01) | TX |
| P55666 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.