Davis, Linda

Davis, Linda is an individual health care provider with primary practice located at 903 Summit Ave , Fort Worth TX 76102-3421. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Davis, Linda can be contacted via phone (817) 877-5353.

Contact Information

Primary practice address
903 Summit Ave Fort Worth TX 76102-3421
Phone: (817) 877-5353
Fax: (817) 877-5357
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA02755 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA02755 Texas

Profile Details

NPI number 1497719371
LBN Legal business name Davis, Linda
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Jun 28th, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1497719371 NPPES
Texas Other 8N2936 BCBS
Texas MEDICAID 196496702 BCBS
Texas MEDICAID 196496703 BCBS
Texas MEDICAID 196496701 BCBS
Texas MEDICAID 196496704 BCBS
Texas Other P00137420 BCBS
Texas MEDICAID 196496705 BCBS

Popular Providers