Davis Medical Professionals

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

DAVIS MEDICAL PROFESSIONALS

Practice address

802 N High St Ste C
Longview, TX 75601-5383

Phone

(903) 431-5799

NPI assigned

Apr 20, 2023

Last updated

Apr 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Quetilla Attaway

Title

Phlebotomist/Specimen Collector

Phone

(903) 431-5799

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1275220212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 N HIGH ST STE C",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015383",
            "telephone_number": "903-431-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 N HIGH ST STE C",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015383",
            "telephone_number": "903-431-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS MEDICAL PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "ATTAWAY",
        "authorized_official_first_name": "QUETILLA",
        "authorized_official_title_or_position": "PHLEBOTOMIST/SPECIMEN COLLECTOR",
        "authorized_official_telephone_number": "903-431-5799"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Smith Darr, DDS
• Tatiana Dejanie Darthard
• Michelle Davenport, OTR
• David Lane Brown, MD
• David Vaca Jr DDS PA (Sleep Well Longview)
• David Davis, PT
• Donna Davis, MD
• Hailey Ann Davis
• Lamont A Davis, FNP
• Mary Ann Davis

• Phlebotomy Technician in Longview, TX
• Providers in Longview, TX by specialty
• Phlebotomy Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.