Fannie Marie Davis in Desoto - Specialist
Fannie Marie Davis - NPI 1265652580
Fannie Marie Davis is a Specialist in Desoto, Texas. Fannie Marie Davis practices all healthcare services and medical treatments related to Specialist. The NPI Number for Fannie Marie Davis is 1265652580. The last update date is 2007-07-08.
Fannie Marie Davis's current location address is 623 Fern Dr, Desoto, Texas. You can contact this provider via phone number 2148493597 and fax number 2148571281. The mailing address for Fannie Marie Davis is 623 Fern Dr, Desoto, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fannie Marie Davis |
|---|---|
| Address | 623 Fern Dr, Desoto, Texas |
| Phone Number | 2148493597 |
| Fax Number | 2148571281 |
| Sole Proprietor | N |
| Credentials | BS |
NPI Number Detail
| NPI Number | 1265652580 |
|---|---|
| Provider Enumeration Date | 2007-04-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 623 Fern Dr |
|---|---|
| City | Desoto |
| State | Texas (TX) |
| Post Code | 751156617 |
| Phone Number | 2148493597 |
| Fax Number | 2148571281 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 1611 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Fannie Marie Davis by the Centers for Medicare & Medicaid Services?
The Fannie Marie Davis has been assigned the NPI (National Provider Identifier) 1265652580 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Fannie Marie Davis is physically located?
The Fannie Marie Davis is physically situated at the following address: 623 Fern Dr, Desoto, TX, 751156617.
What is Fannie Marie Davis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Fannie Marie Davis is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Fannie Marie Davis receive the assignment of its 1265652580 from the Centers for Medicare & Medicaid Services?
The Fannie Marie Davis was issued its 1265652580 by the Centers for Medicare & Medicaid Services on 2007-04-27.
As of what date was the information pertaining to Fannie Marie Davis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Fannie Marie Davis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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