Individual
GRACE LEE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20907 SOUTHHOOK CT, HOUSTON, TX 77073-5624
(832) 301-3920
Mailing address
20907 SOUTHHOOK CT, HOUSTON, TX 77073-5624
(832) 301-3920
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21853504
—
TX
Enumeration date
12/03/2019
Last updated
12/11/2019
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