Individual
SAMANTHA POWELL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
2800 W BOWIE ST, FORT WORTH, TX 76109-1706
(817) 793-9193
Mailing address
2800 W BOWIE ST, FORT WORTH, TX 76109-1706
(817) 793-9193
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
806810
—
133V00000X
Registered Dietitian
DT85993
TX
Other
Enumeration date
11/04/2013
Last updated
12/16/2024
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