Boat Club Medical
NPI 1720473846ActiveOrganization· Specialist· Ft Worth, TX
Specialist in Ft Worth, Texas, registered in NPPES in April 2015. The authorized official on file is Jerry Thomas Davis, DO, Provider/Owner.
Overview
| NPI | 1720473846 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 6, 2015 |
| Last updated in NPPES | Apr 6, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | F9351 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Specialist providers in Ft Worth
- 1750365185
- 1760513451
- 1447463062
- 1558754705
- 1861824567
- 1972434074
- 1073866703
- 1427139658