Individual
MEREDITH D DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6001 KYLE PKWY, KYLE, TX 78640-6112
(858) 876-2496
(512) 717-7547
Mailing address
153 CHAMPION CIR, WIMBERLEY, TX 78676-3321
(512) 871-0204
(512) 717-7547
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L6341
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB111143
MEDICARE
TX
Enumeration date
12/08/2006
Last updated
02/11/2020
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