Individual
BIANCA MARIE DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7400 FANNIN ST STE 810, HOUSTON, TX 77054-1935
(713) 512-8500
(713) 796-2121
Mailing address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7101
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
BP1-0039527
TX
208000000X
Pediatrics Physician
P9830
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
P9830
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340903901
—
TX
05
—
340903902
—
TX
Enumeration date
06/06/2011
Last updated
03/20/2019
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