Davis, Christopher Wayne

Davis, Christopher Wayne is an sole proprietor health care provider with primary practice located at 4560 Lake Ridge Pkwy Ste 110 , Grand Prairie TX 75052-1707. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is his primary health care specialty. Davis, Christopher Wayne can be contacted via phone (972) 522-7778.

Contact Information

Primary practice address
4560 Lake Ridge Pkwy Ste 110 Grand Prairie TX 75052-1707
Phone: (972) 522-7778
Fax: (972) 522-7779
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 777567 Texas
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AP122022 Texas

Profile Details

NPI number 1326312026
LBN Legal business name Davis, Christopher Wayne
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2012
Last updated May 21st, 2020 - 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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