Davis, Jana L

Davis, Jana L is an individual health care provider with primary practice located at 3140 Horizon Rd Ste 101 , Rockwall TX 75032-7805. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Davis, Jana L can be contacted via phone (972) 772-5522.

Contact Information

Primary practice address
3140 Horizon Rd Ste 101 Rockwall TX 75032-7805
Phone: (972) 772-5522
Fax: (469) 402-1565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA05300 Texas

Profile Details

NPI number 1932424397
LBN Legal business name Davis, Jana L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2010
Last updated Feb 1st, 2017 - about 7 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 1932424397 NPPES
Texas MEDICAID 213054405
Texas MEDICAID 213054402
Texas MEDICAID 213054401
Texas MEDICAID 213054403

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