Individual
MS. DEBRA DIANE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11214 INDIAN CYN, SAN ANTONIO, TX 78252-2783
(210) 763-4464
(210) 254-9531
Mailing address
11214 INDIAN CYN, SAN ANTONIO, TX 78252-2783
(210) 763-4464
(210) 254-9531
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
16677081
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TEXAS
—
TX
Enumeration date
08/17/2015
Last updated
08/17/2015
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