Active NPI
Heather Brooke Davis, PA-C
- Physician Assistant
- Pearland, TX
National Provider Identifier
1609015809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PENDING
- Practice address
- 2805 Business Center Dr
Pearland, TX 77584-2149 - Phone
- (713) 436-5208
- NPI assigned
- Feb 11, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PENDING | TX | Primary |
Addresses
Primary practice location
2805 Business Center Dr
Pearland, TX 77584-2149
Mailing address
9 Greenway PLZ
Suite 2950
Houston, TX 77046-0905
Phone (866) 607-7334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | TX | MD | Medical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245369600000",
"number": "1609015809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 GREENWAY PLZ",
"address_2": "SUITE 2950",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770460905",
"telephone_number": "866-607-7334",
"fax_number": "713-358-4801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2805 BUSINESS CENTER DR",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775842149",
"telephone_number": "713-436-5208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "HEATHER",
"middle_name": "BROOKE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-11",
"last_updated": "2009-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PENDING",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.