Individual
CONNIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
8135 KENTON ST, HOUSTON, TX 77028-4631
(702) 900-0623
(832) 201-0672
Mailing address
11722 OAK LAKE PARK DR, SUGAR LAND, TX 77498-7027
(832) 363-7301
(832) 201-0672
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
AG06200250
TX
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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