Tanner, Sue Davis

Tanner, Sue Davis is an individual health care provider with primary practice located at 24275 Katy Fwy Ste 400 , Katy TX 77494-7267. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tanner, Sue Davis can be contacted via phone (346) 387-7171.

Contact Information

Primary practice address
24275 Katy Fwy Ste 400 Katy TX 77494-7267
Phone: (346) 387-7171
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 233019 Texas

Profile Details

NPI number 1275585531
LBN Legal business name Tanner, Sue Davis
Credentials RN,FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated May 7th, 2019 - about 5 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 1275585531 NPPES
Texas MEDICAID 18871605

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