Individual
WALTER PITTS DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
4630 50TH ST, SUITE 507, LUBBOCK, TX 79414-3521
(806) 785-4801
(806) 771-8809
Mailing address
4630 50TH ST, SUITE 507, LUBBOCK, TX 79414-3521
(806) 785-4801
(806) 771-8809
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3873
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00134B
BLUECROSSBLUESHIELD
TX
Enumeration date
01/22/2007
Last updated
07/08/2007
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