Davis, Gabriella Trevino

Davis, Gabriella Trevino is an individual health care provider with primary practice located at 3506 21St St , Lubbock TX 79410-1212. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Davis, Gabriella Trevino can be contacted via phone (806) 725-4805.

Contact Information

Primary practice address
3506 21St St Lubbock TX 79410-1212
Phone: (806) 725-4805
Fax: (806) 723-7815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71013044A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP126920 Texas

Profile Details

NPI number 1366848541
LBN Legal business name Davis, Gabriella Trevino
Credentials ACNPC-AG
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2014
Last updated Sep 26th, 2022 - about 4 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 1366848541 NPPES
Texas MEDICAID 341158901
Texas Other 8596NM
Texas Other 342078100
Texas MEDICAID 67276547

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