Individual
DR. DONNA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
707 HOLLYBROOK DR, LONGVIEW, TX 75605-2410
(903) 757-6042
(903) 232-8298
Mailing address
PO BOX 610393, DALLAS, TX 75261-0393
(903) 291-6187
(903) 237-1810
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K5502
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129237709
—
TX
Enumeration date
12/28/2005
Last updated
09/23/2019
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