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Individual

JODY DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
527 N LEONA ST, SAN ANTONIO, TX 78207-3110
(210) 358-3595
(210) 358-1670
Mailing address
527 N LEONA ST, SAN ANTONIO, TX 78207-3110
(210) 358-3595
(210) 358-1670

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
565511
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
070817402
TX
01
070817404
CIDC
TX
Enumeration date
08/15/2006
Last updated
05/06/2009
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