Davis, Tricia T

Davis, Tricia T is an individual health care provider with primary practice located at 1500 Line Ave Ste 200 , Shreveport LA 71101-4643. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Davis, Tricia T can be contacted via phone (318) 629-5555.

Contact Information

Primary practice address
1500 Line Ave Ste 200 Shreveport LA 71101-4643
Fax: (318) 629-5556
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 340617 Louisiana

Profile Details

NPI number 1073370805
LBN Legal business name Davis, Tricia T
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2024
Last updated Feb 28th, 2024 - about last year

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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