Individual
BROOKE ASHLEY DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W 3RD AVE STE 6, CORSICANA, TX 75110-4564
(903) 872-5925
Mailing address
533 EDGEWOOD AVE, CORSICANA, TX 75110-1121
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1183778
TX
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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