Individual
MR. CHRISTOPHER WAYNE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
4560 LAKE RIDGE PKWY STE 110, GRAND PRAIRIE, TX 75052-1707
(972) 522-7778
(972) 522-7779
Mailing address
4560 LAKE RIDGE PKWY STE 110, GRAND PRAIRIE, TX 75052-1707
(972) 522-7778
(972) 522-7779
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
777567
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP122022
TX
Other
Enumeration date
02/28/2012
Last updated
05/21/2020
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