Individual
JIMMIE DAVIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1109 BELL ST, ARLINGTON, TX 76001-7116
(817) 899-5682
Mailing address
1109 BELL ST, ARLINGTON, TX 76001-7116
(817) 899-5682
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
3623
TX
Other
Enumeration date
04/28/2017
Last updated
04/28/2017
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