P Praxis·MD
● Active Type 1 · Individual

Mark D Davis, PA-C

Physician Assistant·Fort Worth, TX· NPI 1679580435 · Enumerated 2006 · 19 years on NPI
Davis is 1 of 42 physician assistant providers in Fort Worth and 1 of 2220 in Texas.
NPI age
19 years
Enumerated 2006-08-02
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
TX, MI
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-06-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2220 active physician assistant providers in Texas.

NPI age
19 years
↑ 4 yr above median (15 yr)
State licenses
2 states
Top 93% — 6% of peers are multi-state
Subspecialties
1
In the 20% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
6500 Harris Pkwy
Fort Worth, TX 761324136
📞 8172632600fax 8172632805
Mailing address
Po Box 911230
Dallas, TX 753911230
📞 9729978000fax 9722342987

Specialties

  • Physician Assistant Primary
    Definition to come...
    TX license #PA06442 taxonomy 363AM0700X
  • Physician Assistant
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    MI license #5601004142TX license #PA06442 taxonomy 363A00000X

Identifiers

TypeValueNotes
05 (TX) 208650601
01 (MA) 110F335760 BCBSM
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new physician assistant provider has been added in Fort Worth in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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