Powell Davis, Samantha

Powell Davis, Samantha is an individual health care provider with primary practice located at 2800 W Bowie St , Fort Worth TX 76109-1706. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Powell Davis, Samantha can be contacted via phone (817) 793-9193.

Contact Information

Primary practice address
2800 W Bowie St Fort Worth TX 76109-1706
Phone: (817) 793-9193
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DT85993 Texas
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 806810

Profile Details

NPI number 1235568924
LBN Legal business name Powell Davis, Samantha
Credentials MS, RD, LD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2013
Last updated Dec 16th, 2024 - about 2 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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