Individual
TIFFANY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1332 HOSPITAL DR, ANGLETON, TX 77515-3753
(713) 799-2200
Mailing address
1332 HOSPITAL DR, ANGLETON, TX 77515-3753
(713) 799-2200
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
332154
TX
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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