Individual
KASHINDA L DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSA
Contact information
Practice address
6901 MEDICAL PKWY, WACO, TX 76712-7910
(254) 722-6196
Mailing address
7104 CHURCHILL CIR, WACO, TX 76712-3950
(254) 722-6196
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA00771
TX
Other
Enumeration date
01/30/2015
Last updated
10/22/2019
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