Individual
JUDITH A DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5605 N MACARTHUR BLVD, STE. 220, IRVING, TX 75038-2617
(972) 714-0007
(972) 714-0009
Mailing address
5605 N MACARTHUR BLVD, STE. 220, IRVING, TX 75038-2617
(972) 714-0007
(972) 714-0009
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
508432
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089061804
—
TX
01
—
113718318
TAX ID
TX
01
—
562365185
TAX ID
TX
01
—
7419463831
TAX ID
TX
01
—
743018935
TAX ID NO
TX
01
—
81143U
BCBS
TX
01
—
83562U
BCBS
TX
01
—
83892U
BCBS
TX
01
—
85385U
BCBS
TX
01
—
88421C
BCBS
TX
Enumeration date
09/13/2006
Last updated
07/08/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us