Jillian Davis

Primary specialty

Pathology Specialist/TechnologistTaxonomy code 246Q00000X

License

116363 Issued in TX

Practice address

2620 W Walker St
League City, TX 77573-6812

Phone

(281) 309-5400

NPI assigned

Nov 4, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1144864026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4608 MAPLE ST",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774015813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 W WALKER ST",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736812",
            "telephone_number": "281-309-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JILLIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Q00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology",
            "state": "TX",
            "license": "116363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Darcangelo, MS, CCC-SLP
• Aisha Davis
• Chester Lynn Davis, DDS
• Cynthia Davis
• David Davis, D.C.
• Reagan Dylan Davis, PA-C
• Dayal Family Medicine PA
• Gauri Dayal, MD
• Katlyn Alice Deagen, PTA, BS
• Robyn Dearborn

• Pathology Specialist/Technologist in League City, TX
• Providers in League City, TX by specialty
• Pathology Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.