Individual
CAROLYN LEIGH DAVIS-TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
1500 CITYWEST BLVD, STE. 300, HOUSTON, TX 77042-2300
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP120773
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
296115302
—
TX
05
—
296115303
—
TX
01
—
8N0160
BCBS
TX
01
—
P01553405
RR MEDICARE
TX
Enumeration date
05/28/2008
Last updated
04/23/2020
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