Individual
LAURA JEAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
330 STANDRIDGE BLVD, ANNA, TX 75409-3423
(214) 227-2457
(214) 764-0880
Mailing address
PO BOX 2550, ROWLETT, TX 75030-2550
(214) 227-7245
(214) 767-0880
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
172780
TX
246ZC0007X
Surgical Assistant
86409
TX
Other
Enumeration date
03/02/2016
Last updated
06/16/2022
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