Kenneth Gayle Davis (NPI# 1639265010, PAC ID# 3678463015) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1639265010 |
| PAC ID by PECOS | 3678463015 |
| Professional Enrollment ID | I20101222000546 |
| Full Name | Kenneth Gayle Davis |
| Organization Legal Name | LONE STAR COMMUNITY HEALTH CENTER, INC |
| Address |
605 S Conroe Medical Dr Conroe TX 77304-4722 |
| Phone Number | 9365394004 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1973 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | ADDICTION MEDICINE |
| Group Practice PAC ID | 7416841994 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 9365394004 | LONE STAR COMMUNITY HEALTH CENTER, INC |
| 440 Rayford Rd, Suite 150, Spring, TX 77386-4169 | 9365394004 | LONE STAR COMMUNITY HEALTH CENTER, INC |
| Organization Legal Name | LONE STAR COMMUNITY HEALTH CENTER, INC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carisa K Richter | Physician Assistant | Lone Star Community Health Center, Inc | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 |
| Maribeth Bobadilla | Family Medicine | Lone Star Community Health Center, Inc | 9516 Fm 1097 Rd W, Suite 140, Willis, TX 77318-4976 |
| Ana R Tresvalles | Nurse Practitioner | Lone Star Community Health Center, Inc | 440 Rayford Rd, Spring, TX 77386-4169 |
| Marwan M Al-khudhair | Family Medicine | Lone Star Community Health Center, Inc | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 |
| Jonathan Ingusan Santos | Family Medicine | Lone Star Community Health Center, Inc | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 |
| Heather Duff | Nurse Practitioner | Lone Star Community Health Center, Inc | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 |
| Yvette F Gordon | Obstetrics/gynecology | Lone Star Community Health Center, Inc | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 |
| Daniel Porter | Family Medicine | Lone Star Community Health Center, Inc | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 |
| Cristina Hamme | Family Medicine | Lone Star Community Health Center, Inc | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 |
| Ranae Stanton | Family Medicine | Lone Star Community Health Center, Inc | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 |
| Street Address |
605 S CONROE MEDICAL DR |
| City | CONROE |
| State | TX |
| Zip | 77304-4722 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carisa K Richter | Physician Assistant | Lone Star Community Health Center, Inc | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 |
| Marwan M Al-khudhair | Family Medicine | Lone Star Community Health Center, Inc | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 |
| Jonathan Ingusan Santos | Family Medicine | Lone Star Community Health Center, Inc | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 |
| Heather Duff | Nurse Practitioner | Lone Star Community Health Center, Inc | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 |
| Yvette F Gordon | Obstetrics/gynecology | Lone Star Community Health Center, Inc | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 |
| Daniel Porter | Family Medicine | Lone Star Community Health Center, Inc | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 |
| Cristina Hamme | Family Medicine | Lone Star Community Health Center, Inc | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 |
| Ranae Stanton | Family Medicine | Lone Star Community Health Center, Inc | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 |
| Kristen Alonso | Family Medicine | Lone Star Community Health Center, Inc | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 |
| Natoya S Caston | Nurse Practitioner | Lone Star Community Health Center, Inc | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Stephen Ellis | General Surgery | Conroe Montgomery Physicians Group, Pllc | 508 Medical Ctr Blvd, Suite 150, Conroe, TX 77304 |
| Alexander B Klein | Obstetrics/gynecology | Conroe Montgomery Physicians Group, Pllc | 508 Medical Ctr Blvd, Suite 150, Conroe, TX 77304 |
| Jerome C Young | Obstetrics/gynecology | Conroe Montgomery Physicians Group, Pllc | 508 Medical Ctr Blvd, Suite 150, Conroe, TX 77304 |
| Jeffrey A Przybyla | General Surgery | Conroe Montgomery Physicians Group, Pllc | 508 Medical Ctr Blvd, Suite 150, Conroe, TX 77304 |
| Kelly K Gilmore-lynch | Colorectal Surgery (proctology) | Conroe Montgomery Physicians Group, Pllc | 508 Medical Ctr Blvd, Suite 150, Conroe, TX 77304 |
| Jessica L Cooper | Clinical Social Worker | Vericare PC | 99 Rigby Owen Rd, Conroe, TX 77304-1765 |
| Kenneth M Perkins | Chiropractic | 3504 W Davis, Conroe, TX 77304-1832 | |
| Harry K Eulitt | Chiropractic | 3401 W Davis, Conroe, TX 77304-1860 | |
| Michele Times | Nurse Practitioner | Psychiatric Services of Houston and Associates I, Pllc | 1701 Westview Blvd, Strake Place, Conroe, TX 77304-1911 |
| Jennifer L Boyd | Nurse Practitioner | Tri-county Behavioral Healthcare | 233 Sgt Ed Holcomb Blvd S, Conroe, TX 77304-1990 |
| Find all physicians in zip 77304 | |||
| City | CONROE |
| Zip Code | 77304 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CONROE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kenneth Gayle Davis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.