Individual
LACRESA B. DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7703 FLOYD CURL, SAN ANTONIO, TX 78229-3901
(210) 257-1400
(210) 257-1428
Mailing address
7703 FLOYD CURL, SAN ANTONIO, TX 78229-3901
(210) 257-1400
(210) 257-1428
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
567944
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134778314
CSHCN
TX
05
—
134778315
—
TX
05
—
134778316
—
TX
Enumeration date
12/23/2005
Last updated
07/06/2011
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