Davenport, Meredith D

Davenport, Meredith D is an sole proprietor health care provider with primary practice located at 6001 Kyle Pkwy , Kyle TX 78640-6112. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Davenport, Meredith D can be contacted via phone (858) 876-2496.

Contact Information

Primary practice address
6001 Kyle Pkwy Kyle TX 78640-6112
Fax: (512) 717-7547
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X L6341 Texas

Profile Details

NPI number 1891855243
LBN Legal business name Davenport, Meredith D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2006
Last updated Feb 11th, 2020 - 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 1891855243 NPPES
Texas Other TXB111143 MEDICARE

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