Organization
VIRGINIA L DAVIS
Active
Organization
VIRGINIA L DAVIS
Active
Other names
Star CPD Services
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA L DAVIS M.S. (MANAGER)
(903) 885-3173
Entity
Organization
Contact information
Practice address
798 FARM ROAD 3019, FM 3019, WINNSBORO, TX 75494-4859
(903) 885-3173
(903) 885-5544
Mailing address
798 FARM ROAD 3019, FM 3019, WINNSBORO, TX 75494-4859
(903) 885-3173
(903) 885-5544
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
M9859
TX
227800000X
Certified Respiratory Therapist
Primary
60702
TX
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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