Organization
JENNIFER L DAVIS MD PLLC
Active
Other names
BLUE SKY PEDIATRICS
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L DAVIS MD (OWNER)
(361) 883-9999
Entity
Organization
Contact information
Practice address
3130 S ALAMEDA ST, CORPUS CHRISTI, TX 78404-2523
(361) 883-9999
(361) 883-9909
Mailing address
PO BOX 60457, CORPUS CHRISTI, TX 78466-0457
(361) 883-9999
(361) 883-9909
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J4070
TX
Other
Enumeration date
11/01/2012
Last updated
02/20/2015
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