Organization
DAVENPORT HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON GRANT WELLS (OWNER)
(832) 894-5063
Entity
Organization
Contact information
Practice address
5280 CAROLINE ST APT 1710, HOUSTON, TX 77004-5885
(832) 894-5063
Mailing address
5280 CAROLINE ST APT 1710, HOUSTON, TX 77004-5885
(832) 894-5063
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609313378
NPI
ID
Enumeration date
06/01/2016
Last updated
03/07/2022
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