Teneric Joseph Davis, LSA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

10910 Redstone CT
Missouri City, TX 77459-3280

Phone

(713) 271-2384

Fax

(281) 833-8950

NPI assigned

Oct 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Platinum Surgical Management LLC

  • Surgical Physician Assistant
  • Houston, TX
  • NPI 1316131386
  NPD (past)

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1487841433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10910 REDSTONE CT",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774593280",
            "telephone_number": "713-271-2384",
            "fax_number": "281-833-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10910 REDSTONE CT",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774593280",
            "telephone_number": "713-271-2384",
            "fax_number": "281-833-8950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6560 Fannin St",
            "address_2": "Suite 1610",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302761",
            "country_code": "US",
            "telephone_number": "713-271-2384",
            "fax_number": "281-833-8950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7023 Roberson Rd",
            "address_purpose": "LOCATION",
            "city": "Missouri City",
            "state": "TX",
            "postal_code": "774892508",
            "country_code": "US",
            "telephone_number": "713-271-2384",
            "fax_number": "281-833-8950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TENERIC",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "LSA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-03",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "SA00345",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hattie Louise Davis, RPH
• Jade Davis
• Nieshia Davis
• Sherita Renea Davis
• Tamera Davis, LPC
• Tiana Davis
• Yvonne Maureen Davis, P.T.
• Davison Health Care
• Daybreak Children Services
• Daybreak Children Services

• Surgical Physician Assistant in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.