Individual provider · NPI-1
Victoria P Davis, PA
Physician Assistant · Bryan, TX
NPI number1497317960
StatusActive
Last updated in NPPESMar 7, 2024
Details
- NPI
- 1497317960
- Entity type
- Individual (NPI-1)
- Name
- Victoria P Davis
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 3, 2019
- Certification date
- Mar 7, 2024
- Last updated
- Mar 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA12917 | TX | Yes |
Practice location
3201 University Dr E Ste 425Bryan, TX 77802-3479
Phone 979-207-7400
Mailing address
Po Box 844658Dallas, TX 75284-4658
Phone 800-994-0371 · Fax 254-215-9722
Other practice locations
1602 Rock Prairie Rd Ste 3000
College Station, TX 77845-5989
College Station, TX 77845-5989
Phone 979-776-8896 · Fax 979-774-0716
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