Davis, Debra Diane

Davis, Debra Diane is an sole proprietor health care provider with primary practice located at 11214 Indian Cyn , San Antonio TX 78252-2783. She recently has only one registered license in Transportation Services / Non-emergency Medical Transport (VAN), which is considered as her primary health care specialty. Davis, Debra Diane can be contacted via phone (210) 763-4464.

Contact Information

Primary practice address
11214 Indian Cyn San Antonio TX 78252-2783
Phone: (210) 763-4464
Fax: (210) 254-9531
Website:
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Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X 16677081 Texas

Profile Details

NPI number 1740656578
LBN Legal business name Davis, Debra Diane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2015
Last updated Aug 17th, 2015 - about 9 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 1740656578 NPPES
Texas MEDICAID TEXAS

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