Individual
ALISANDE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
4303 VICTORY DR, AUSTIN, TX 78704-7507
(512) 462-3627
Mailing address
4303 VICTORY DR, AUSTIN, TX 78704-8870
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA07407
TX
Other
Enumeration date
04/26/2012
Last updated
02/28/2013
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