Individual
KASEY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2399
(832) 824-1000
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-8173
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
2012003238
MO
2080P0203X
Pediatric Critical Care Medicine Physician
23807
MS
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
R3825
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09200561
—
MS
05
—
196552
—
AL
Enumeration date
05/19/2007
Last updated
07/07/2025
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