Laura Jean Davis, CSFA
Individual provider Active NPI Surgical Assistant · Anna, TX
NPI 1992165047 · NPPES record last updated Jun 16, 2022
Key facts
- NPI
- 1992165047
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Assistant 246ZC0007X
- License
- 172780 (TX)
- Practice address
- 330 Standridge Blvd
Anna, TX 75409-3423 - Phone
- (214) 227-2457
- Fax
- (214) 764-0880
- NPI assigned
- Mar 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| 86409 | TX | MD | Professional Counselor |
| 172780 | TX | MD | Surgical Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgfirst Assisting LLC | Surgical Assistant | Current | Accepting new patients |
| Urology Partners of North Texas, PLLC | Past |
Accepting new patients |
Locations
330 N Standridge Blvd
Anna, TX 75409
Phone (214) 831-1300
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/18f5d65c-83f0-435a-868c-70ce5a6de90a/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 86409 | TX | |
| Surgical Assistant | 246ZC0007X | 172780 | TX | Yes |
Addresses
Primary practice location
330 Standridge Blvd
Anna, TX 75409-3423
Mailing address
PO Box 2550
Rowlett, TX 75030-2550
Phone (214) 227-7245
Other practice location 1
13809 Bates Aston Rd
Haslet, TX 76052-2603
Phone (817) 233-2027
Other providers in Anna, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2022. 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.