Individual
ABIGAIL U DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5113 GLEN CANYON RD, FORT WORTH, TX 76137-4104
(817) 879-9714
Mailing address
5113 GLEN CANYON RD, FORT WORTH, TX 76137-4104
(817) 879-9714
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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