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Individual

CHANSEYA A DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3370 S TEXAS AVE, #B, BRYAN, TX 77802-3127
(979) 595-1700
(979) 595-1740
Mailing address
1500 UNIVERSITY DR E, SUITE 100, COLLEGE STATION, TX 77840-2600
(979) 846-1100
(979) 260-9390

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M1748
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
184074602
TX
01
8AR402
BLUE CROSS BLUE SHIELD
TX
01
P00452866
MEDICARE RAILROAD
Enumeration date
07/03/2006
Last updated
01/18/2017
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