DAVIS JASON - NPI: 1689819302


Mood disorder is a group of diagnoses in the Diagnostic and Statistical Manual of Mental Disorders classification system where a disturbance in the person's mood is hypothesized to be the main underlying feature. The classification is known as mood (affective) disorders in International Classification of Diseases (ICD).

NPI: 1689819302
Entity Type: Person: individual human being who furnishes health care.
Provider First Name: JASON
Provider Last Name: DAVIS
Provider Gender Code: M
Provider Credential Text: PT
Provider Enumeration Date: 12/09/2008
Last Update Date: 12/09/2008

Business Address:

Provider First Line Business Mailing Address: 6037 HARRIS PKWY
Provider Business Mailing Address City Name: FORT WORTH
Provider Business Mailing Address State Name: TX
Provider Business Mailing Address Postal Code: 76132
Provider Business Mailing Address Country Code (If outside U.S.): US
Phone: 8173709891
Fax Number: 8173709894

Mailing Address:

Provider First Line Business Practice Location Address: 6037 HARRIS PKWY
Provider Business Practice Location Address City Name: FORT WORTH
Provider Business Practice Location Address State Name: TX
Provider Business Practice Location Address Postal Code: 76132
Provider Business Practice Location Address Country Code (If outside U.S.): US
Phone: 8173709891
Fax Number: 8173709894

Primary Taxonomy:

Taxonomy Code: 225100000X
License Number: 1184878
License State: TX
Healthcare Provider Primary Taxonomy Switch: Y - The taxonomy is the primary taxonomy (there can be only one per NPI record
Type: Respiratory
Classification: Developmental
Specialization: Rehabilitative and Restorative Service Providers
Definition: Physical Therapist
Source: The National Provider Identifier

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