DR. RAUL ANGEL DAVALOS III MD
NPI 1124725155
General Practice in Jbsa Ft Sam Houston, TX
About Dr. Raul Angel Davalos Iii Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RAUL ANGEL DAVALOS III MD (NPI 1124725155) is an individual general practice provider in Jbsa Ft Sam Houston, Texas, licensed in California (A201780) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Raul Angel Davalos Iii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Raul Davalos's NPI number?
The NPI number for Raul Davalos is 1124725155. It was assigned to this individual provider in the NPPES registry on February 9, 2023.
Where is Raul Davalos located?
Raul Davalos practices at 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234. The listed phone number is (210) 916-1284.
What is Raul Davalos's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Raul Davalos enrolled in Medicare?
Yes. Raul Davalos is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Raul Davalos was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Raul Angel Davalos III, MD · NPI 1124725155
General Practice physician in Jbsa Ft Sam Houston, Texas. Individual provider, active in the CMS NPPES registry since February 9, 2023.
## Identity
- **NPI:** 1124725155 (Entity type: Individual)
- **Enumerated:** February 9, 2023
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** A201780 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3551 ROGER BROOKE DR, Jbsa Ft Sam Houston, TX 78234-4504
- **Phone:** (210) 916-1284
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1124725155) · Data from the CMS NPPES public registry.