Individual
KARA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CSG, LD
Contact information
Practice address
2231 BUTLER ST, DALLAS, TX 75235-7826
(214) 590-5224
Mailing address
5433 PERCY PRIEST ST, FORT WORTH, TX 76179-1480
(817) 291-7520
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT06401
TX
133VN1101X
Gerontological Nutrition Registered Dietitian
DT06401
TX
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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