Individual
JAMES LESLIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6130 PARKWAY DR, CORPUS CHRISTI, TX 78414-2455
(361) 883-6211
(361) 882-4891
Mailing address
4455 S PADRE ISLAND DR STE 11, CORPUS CHRISTI, TX 78411-5163
(361) 883-6211
(361) 882-4891
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
683477
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152870501
—
TX
05
—
152870502
—
TX
01
—
82631U
BLUE CROSS
TX
01
—
82637U
BCBS
TX
Enumeration date
05/11/2006
Last updated
07/15/2019
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