Davenport, Bianca Marie

Davenport, Bianca Marie is an individual health care provider with primary practice located at 7400 Fannin St Ste 810 , Houston TX 77054-1935. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Davenport, Bianca Marie can be contacted via phone (713) 512-8500.

Contact Information

Primary practice address
7400 Fannin St Ste 810 Houston TX 77054-1935
Phone: (713) 512-8500
Fax: (713) 796-2121
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X BP1-0039527 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X P9830 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X P9830 Texas

Profile Details

NPI number 1770877979
LBN Legal business name Davenport, Bianca Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2011
Last updated Mar 20th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770877979 NPPES
Texas MEDICAID 340903902
Texas MEDICAID 340903901

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