NATHALIE DAVILA


Address: 801 Matlock Rd, Mansfield, TX 76063-9174
Phone: 8173478400

NATHALIE DAVILA (NPI# 1912227091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912227091
Entity Type Individual
Full Name NATHALIE DAVILA
Other Name NATHALIE GAULIER
Credential M.D.
Practice Address 801 Matlock Rd
Mansfield
TX 76063-9174
Mailing Address Po Box 99371
Fort Worth
TX 76199-0371
Practice Telephone 8173478400
Practice Fax Number 8173478410
Mailing Telephone 6828851855
Mailing Fax Number 6828857347
Enumeration Date 2010-06-11
Last Update Date 2017-05-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QS0010X Family Medicine
Specialization: Sports Medicine
P2992 TX Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program BP10037209 TX Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
TX TEXAS STATE MEDICAL BOARD P2992 01

Office Location

Street Address 801 MATLOCK RD
City MANSFIELD
State TX
Zip Code 76063-9174

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629270269 Brenda Newell Registered Nurse 801 Matlock Rd, Mansfield, TX 76063-9174 2007-06-05
1326528993 Alexa D Philipose Physician Assistant 801 Matlock Rd, Mansfield, TX 76063-9174 2018-08-14
1649782046 Melissa Ann Hataway Nurse Practitioner 801 Matlock Rd, Mansfield, TX 76063-9174 2017-10-25
1407231285 Elizabeth A Busch Physician Assistant 801 Matlock Rd, Mansfield, TX 76063 2015-07-22
1003235672 Lacy Pitchford Nurse Practitioner 801 Matlock Rd, Mansfield, TX 76063 2014-04-10
1750700324 Stephanie Segelstrom Nurse Practitioner 801 Matlock Rd, Mansfield, TX 76063 2014-04-10
1659797611 Christie Lea Nurse Practitioner 801 Matlock Rd, Mansfield, TX 76063-9174 2014-03-13
1326479684 Cook Children's Medical Center Clinic/Center 801 Matlock Rd, Mansfield, TX 76063-9174 2013-12-11
1962833228 Cook Children's Medical Center Pediatrics 801 Matlock Rd, Mansfield, TX 76063-9174 2013-12-11
1841564945 Anna C Alonzo Nurse Practitioner 801 Matlock Rd, Mansfield, TX 76063-9174 2012-03-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316558349 Lindsey Vandyke, D.o. Pllc Internal Medicine 3150 E Broad Street, Ste 100, Mansfield, TX 76063 2020-08-13
1942819867 Jennifer Que Chau Nguyen Pharmacist 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 2020-07-27
1194346890 Ana Maria Gonzalez Dentist 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 2020-05-04
1245869080 Stateserv Medical of Texas, LLC Durable Medical Equipment & Medical Supplies 7941 Rodeo Trail, Mansfield, TX 76063 2020-04-03
1649802232 Mary Puanani Kamai Nurse Practitioner 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 2020-02-11
1770123028 Gladys Vera Nfodzo Nurse Practitioner 901 W. Broad St, Mansfield, TX 76063 2020-01-14
1669011300 Alexa Smith Nurse Practitioner 2800 E Broad St #304, Mansfield, TX 76063 2019-12-28
1477190437 Mel Rockwall LLC Optometrist 1701 East Broad Street, Ste 109, Mansfield, TX 76063 2019-12-09
1376185512 Daniel Max & Marcandrea LLC Optometrist 1701 East Broad St., Ste 109, Mansfield, TX 76063 2019-10-09
1861046385 Lacey Eaton Counselor 805 Killian Dr, Mansfield, TX 76063 2019-08-01
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Taxonomy Information

Taxonomy Code 207QS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sports Medicine

Taxonomy Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

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1154922755 David Conrad Ortmeier Family Medicine 4900 Wichita Trl, Flower Mound, TX 75022-5628 2020-11-02
1639704042 Tahnee Rae Beal Family Medicine 1301 S Bonnie Brae St., Athc Building # 0320., Denton, TX 76207 2020-03-05
1760027643 Mark Garza, M.d., Pllc Family Medicine 131 S Westmeadow Dr, Cleburne, TX 76033-4586 2019-11-14
1528603495 Mark Garza, M.d., Pllc Family Medicine 209 Saint Louis Ave Ste 100, Fort Worth, TX 76104-1231 2019-11-14
1265092043 Texas Federal Wellness Center of Mcallen Pllc Family Medicine 4501 W Expressway 83 Ste 50, Mcallen, TX 78503-0029 2019-06-14
1235792524 Celina Family Practice Pllc Family Medicine 701 N Preston Rd Ste 200, Celina, TX 75009-3777 2019-04-22
1164902409 Dna Medical Family Medicine 3736 Bee Caves Rd Ste 9, West Lake Hills, TX 78746-5378 2018-08-16
1861992695 Taylor Henry Family Medicine 739 Tanglewood Drive, Burleson, TX 76028 2018-02-19
1063910842 Running Wild Sea, LLC Family Medicine 8557 Research Blvd Ste 128, Austin, TX 78758-7855 2018-01-26
1134633050 The University of Texas Rio Grande Valley Family Medicine 1201 West University Dr., Utrgv Dept of Intercollegiate Athletics, Edinburg, TX 78539 2017-11-30
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Competitor

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City MANSFIELD
Zip Code 76063

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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