Individual
HILLARY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1455 E BERT KOUN LOOP, #210, SHREVEPORT, LA 71105-5634
(318) 798-4623
(318) 798-4639
Mailing address
1455 E BERT KOUN LOOP, #210, SHREVEPORT, LA 71105-5634
(318) 798-4623
(318) 798-4639
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200887
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2401955
—
LA
Enumeration date
08/14/2015
Last updated
08/23/2024
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