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Organization
JILL DAVENPORT, MD, PLLC
Active
Organization
JILL DAVENPORT, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL DAVENPORT M.D. (MEDICAL DIRECTOR)
(214) 558-9585
Entity
Organization
Contact information
Practice address
7808 CLODUS FIELDS DR, DALLAS, TX 75251-2206
(214) 558-9585
Mailing address
6823 CORONADO AVE, DALLAS, TX 75214-4015
(214) 558-9585
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M4021
TX
Other
Enumeration date
07/12/2010
Last updated
07/14/2010
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