Individual
JANA L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3140 HORIZON RD STE 101, ROCKWALL, TX 75032-7805
(972) 772-5522
(469) 402-1565
Mailing address
3140 HORIZON RD STE 101, ROCKWALL, TX 75032-7805
(972) 772-5522
(469) 402-1565
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05300
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213054401
—
TX
05
—
213054402
—
TX
05
—
213054403
—
TX
05
—
213054405
—
TX
Enumeration date
03/29/2010
Last updated
02/01/2017
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