Individual
MS. JACQUELINE LETICIA DAVIS-HERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4001 LONG PRAIRIE RD, SUITE 150, FLOWER MOUND, TX 75028-1565
(972) 420-1470
(972) 420-1465
Mailing address
4001 LONG PRAIRIE RD, SUITE 150, FLOWER MOUND, TX 75028-1565
(972) 420-1470
(972) 420-1465
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M0700
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182734701
—
TX
Enumeration date
05/25/2006
Last updated
09/11/2015
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