SearchTexas374U00000X

Wynnette Davis

NPI 1205248085 · on the registry since 2014 · sole proprietor

Practice

Address
11901 Brookvalley Cir Apt A
Balch Springs, TX 75180
Phone
(214) 881-2262

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-05-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas