Individual
TRICIA T DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7925 YOUREE DR STE 200, SHREVEPORT, LA 71105-5134
(318) 212-3610
(318) 212-3709
Mailing address
7925 YOUREE DR STE 200, SHREVEPORT, LA 71105-5134
(318) 212-3610
(318) 212-3709
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
340617
LA
Other
Enumeration date
02/28/2024
Last updated
07/08/2025
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