Individual
CARISA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14983 BOAZ LN, LINDALE, TX 75771-4801
(972) 896-1843
Mailing address
14983 BOAZ LN, LINDALE, TX 75771-4801
(972) 896-1843
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
07/21/2021
Last updated
09/25/2023
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