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Individual
RITA SHAWN DAVIS
Active
Individual
RITA SHAWN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7123DC
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0036KP
GROUP PROVIDER NUMBER
TX
01
—
00798V
PROVIDER NUMBER
TX
05
—
TPI038310102
—
TX
Enumeration date
08/05/2006
Last updated
02/25/2016
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