Individual
MR. BOBBY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGNP-C
Contact information
Practice address
1302 N SHEPHERD DR, HOUSTON, TX 77008-3752
(713) 885-9899
Mailing address
2714 HAZY CREEK DR, HOUSTON, TX 77084-4388
(713) 231-3990
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
594257
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5189143787
CERTIFIED MEDICAL EXAMINER
TX
Enumeration date
07/08/2014
Last updated
03/22/2018
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