Individual
KATHLEEN SUSAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, AGPCNP-C
Contact information
Practice address
6560 FANNIN ST STE 2200, HOUSTON, TX 77030-2715
(678) 852-2642
Mailing address
6560 FANNIN ST STE 2200, HOUSTON, TX 77030-2715
(678) 852-2642
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000222645
TN
363L00000X
Nurse Practitioner
Primary
1100338
TX
Other
Enumeration date
02/05/2021
Last updated
03/04/2024
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