Individual
TESHIRA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
12221 N MOPAC EXPY, AUSTIN, TX 78758-2401
(512) 901-1000
Mailing address
20505 TRACTOR DR UNIT B, PFLUGERVILLE, TX 78660-7259
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
104664128
TX
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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