Provider Demographics
NPI:1972590644
Name:DAVIS, KENT GREGORY (MD)
Entity type:Individual
Prefix:DR
First Name:KENT
Middle Name:GREGORY
Last Name:DAVIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10740 N GESSNER DR
Mailing Address - Street 2:STE 310
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-1240
Mailing Address - Country:US
Mailing Address - Phone:281-897-0416
Mailing Address - Fax:281-890-8908
Practice Address - Street 1:8731 KATY FWY STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1735
Practice Address - Country:US
Practice Address - Phone:713-781-9660
Practice Address - Fax:800-715-7365
Is Sole Proprietor?:No
Enumeration Date:2005-09-28
Last Update Date:2024-10-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ7773207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX705550OtherBEECHSTREET
TX165024401Medicaid
TXG73660Medicare UPIN
TXP00186285Medicare PIN
TX165024401Medicaid