Individual
MONICA MICHELLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2411 FOUNTAIN VIEW DR, SUITE 200, HOUSTON, TX 77057-4817
(713) 620-4000
Mailing address
2411 FOUNTAIN VIEW DR, STE. 200, HOUSTON, TX 77057-4817
(713) 620-4000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L3276
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109680201
—
TX
05
—
153565003
—
TX
05
—
2315439
—
LA
01
—
430027425
MEDICARE RAILROAD
TX
01
—
8U3365
BLUE CROSS BLUE SHIELD
TX
01
—
8U4522
BLUE CROSS
TX
Enumeration date
01/09/2007
Last updated
11/20/2012
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