Davis, Lacresa B.

Davis, Lacresa B. is an individual health care provider with primary practice located at 7703 Floyd Curl , San Antonio TX 78229-3901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Davis, Lacresa B. can be contacted via phone (210) 257-1400.

Contact Information

Primary practice address
7703 Floyd Curl San Antonio TX 78229-3901
Phone: (210) 257-1400
Fax: (210) 257-1428
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 567944 Texas

Profile Details

NPI number 1750368361
LBN Legal business name Davis, Lacresa B.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Jul 6th, 2011 - about 15 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 1750368361 NPPES
Texas Other 134778314 CSHCN
Texas MEDICAID 134778316 CSHCN
Texas MEDICAID 134778315 CSHCN

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