Shirley - Davis, Diane Marie

Shirley - Davis, Diane Marie is an individual health care provider with primary practice located at 13325 Hargrave Rd Ste 270, Houston TX 77070-4350. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Shirley - Davis, Diane Marie can be contacted via phone (832) 237-2227.

Contact Information

Primary practice address
13325 Hargrave Rd Ste 270 Houston TX 77070-4350
Fax: (832) 237-3930
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X L1746 Texas

Profile Details

NPI number 1053308569
LBN Legal business name Shirley - Davis, Diane Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Nov 9th, 2010 - about 16 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 1053308569 NPPES
Texas Other 1101599 BEECHSTREET
Texas MEDICAID 142009301 BEECHSTREET

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