Tessa Renee Davis
Individual provider Active NPI Licensed Vocational Nurse · Whitehouse, TX
NPI 1386267656 · NPPES record last updated May 21, 2020
Key facts
- NPI
- 1386267656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 344684 (TX)
- Practice address
- 310 Woodhaven Dr
Whitehouse, TX 75791-3044 - Phone
- (817) 845-6652
- NPI assigned
- May 21, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 344684 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 344684 | TX | Yes |
Addresses
Primary practice location
310 Woodhaven Dr
Whitehouse, TX 75791-3044
Mailing address
310 Woodhaven Dr
Whitehouse, TX 75791-3044
Phone (817) 845-6652
Other providers in Whitehouse, TX
- Brooke Annalise Costlow
- Raleigh D. Cox IV
- CVS Pharmacy Inc
- Karam Dalawy
- Sally Ann Daly
- Ralph Hemerson De Similien
- Martha L Deal
- Makenna Dewitz
- Kenslie A Dews
- David Tyler Dillon
All providers in Whitehouse, TX · Licensed Vocational Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.