Individual
MRS. ANTONILLA LUCINDA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1002 W SAM HOUSTON SUITE 10, PHARR, TX 78577-5198
(956) 702-9882
(956) 702-9886
Mailing address
PO BOX 720157, MCALLEN, TX 78504-0157
(956) 682-6900
(956) 682-8445
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
103926
TX
Other
Enumeration date
02/18/2008
Last updated
12/21/2011
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