Davis, Mary Ann

Davis, Mary Ann is an sole proprietor health care provider with primary practice located at 803 Oakdale Ave , Longview TX 75602-2049. She recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is her primary health care specialty. Davis, Mary Ann can be contacted via phone (903) 917-3118.

Contact Information

Primary practice address
803 Oakdale Ave Longview TX 75602-2049
Phone: (903) 917-3118
Fax: (903) 295-5856
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 00238902 Texas
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X 00238902 Texas

Profile Details

NPI number 1730464611
LBN Legal business name Davis, Mary Ann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2011
Last updated Oct 11th, 2011 - about 14 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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