Individual provider · Type 1 NPI

Coleton Shane Davis

Student in an Organized Health Care Education/Training Program · Abilene, TX

NPI number 1225593247 Active

Practice location

2200 Hickory St
Abilene, TX 79601-2345

Mailing address

2510 Pine St # 4303
Abilene, TX 79601-1508

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1225593247

Coleton Shane Davis's National Provider Identifier is 1225593247, issued on Feb 4, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Abilene, TX. The record was last updated on Feb 4, 2019.