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1225092018
GLENN MONROE DAVIS
NACOGDOCHES, TX
NPI
1225092018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: TX E6317)
Enumeration Date
2006-04-17
Last Update Date
2009-12-01
Business Address
-- GLENN MONROE DAVIS MD
4920 NE STALLINGS DR
NACOGDOCHES, TX 75965-1254
Phone number: 936-569-9481
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Mailing Address
-- GLENN MONROE DAVIS MD
PO BOX 2887
PORT ARTHUR, TX 77643-2887
Phone number: 800-945-2455
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