Davis, Lamont A

Davis, Lamont A is an individual health care provider with primary practice located at 703 E Marshall Ave Ste 5008 , Longview TX 75601. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Davis, Lamont A can be contacted via phone (903) 315-4880.

Contact Information

Primary practice address
703 E Marshall Ave Ste 5008 Longview TX 75601
Phone: (903) 315-4880
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP122827 Texas

Profile Details

NPI number 1215271481
LBN Legal business name Davis, Lamont A
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2012
Last updated Jul 29th, 2019 - about 7 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 1215271481 NPPES
Texas Other 804031 MEDICARE
Texas Other 809525 MEDICARE

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