Individual provider · Type 1 NPI

Fannie Marie Davis, BS

Specialist · Desoto, TX

NPI number 1265652580 Active

Practice location

623 Fern Drive
Desoto, TX 75115-6617

Fax (214) 857-1281

Mailing address

623 Fern Dr
Desoto, TX 75115-6617

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1611 (TX)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1265652580

Fannie Marie Davis, BS's National Provider Identifier is 1265652580, issued on Apr 27, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Desoto, TX. The record was last updated on Jul 8, 2007.