Organization
DAVAC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEIGH ANN RAY (PRACTICE MANAGER)
(502) 572-6353
Entity
Organization
Contact information
Practice address
919 TRAVIS AVE, FORT WORTH, TX 76104-3137
(817) 810-0700
(817) 810-0712
Mailing address
919 TRAVIS AVE, FORT WORTH, TX 76104-3137
(817) 810-0700
(817) 810-0712
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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