Individual
KATHRYN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16980 DALLAS PKWY STE 110, DALLAS, TX 75248-1910
(972) 733-3090
Mailing address
9330 LBJ FWY STE 800, DALLAS, TX 75243-4310
(972) 792-5700
(214) 506-1170
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA16668
TX
Other
Enumeration date
11/08/2022
Last updated
07/31/2023
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