Individual
CHANDRA LYN DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12221 MERIT DR, SUITE 1610, DALLAS, TX 75251-2202
(972) 372-0912
(214) 217-1901
Mailing address
12221 MERIT DR, SUITE 1610, DALLAS, TX 75251-2202
(972) 372-0912
(214) 217-1901
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04620
TX
363AM0700X
Medical Physician Assistant
PA04620
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3010613-01
—
TX
Enumeration date
10/03/2006
Last updated
01/29/2026
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