Individual
JESSE CALE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6130 PARKWAY DR, CORPUS CHRISTI, TX 78414-2455
(361) 883-6211
(361) 882-4891
Mailing address
4455 S PADRE ISLAND DR STE 11, CORPUS CHRISTI, TX 78411-5163
(361) 883-6211
(361) 882-4891
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R073518
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
AP125994
TX
367500000X
Certified Registered Nurse Anesthetist
CTP-000260
AR
Other
Enumeration date
01/18/2014
Last updated
04/07/2022
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