Individual
MR. JIMMIE LEE DAVIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 S TIMBERLAND DR, LUFKIN, TX 75901-4084
(936) 671-0996
Mailing address
607 BURTON AVE, LUFKIN, TX 75904-4665
(936) 671-0996
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
1180376
TX
Other
Enumeration date
05/26/2019
Last updated
05/26/2019
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