Individual
PROF. JOHN CHARLES DAVIS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7120 FM 1960 RD E, HUMBLE, TX 77346-2702
(281) 783-8162
Mailing address
2925 BRIARPARK DR STE 575, HOUSTON, TX 77042-3776
(832) 626-2842
(832) 626-2842
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
PA01488
TX
363A00000X
Physician Assistant
Primary
PA01488
TX
363AM0700X
Medical Physician Assistant
PA01488
TX
363AS0400X
Surgical Physician Assistant
PA01488
TX
390200000X
Student in an Organized Health Care Education/Training Program
PA01488
TX
Other
Enumeration date
09/12/2010
Last updated
08/10/2022
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