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NPI Code Detail

MEDICARE: KAREN DAVIS

MEDICARE:   KAREN  DAVIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician1219279TX

General Provider Information

NPI Number : 1699639344
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN DAVIS
Provider Business Mailing Address
First Line : 2820 VILLAGE PKWY
Second Line :
City : HIGHLAND VILLAGE
State : TX
Zip : 75077-3295
Country : US
Telephone Number : 972-317-2082
Fax Number :
Provider Business Practice Location Address
First Line : 2820 VILLAGE PKWY
Second Line :
City : HIGHLAND VILLAGE
State : TX
Zip : 75077-3295
Country : US
Telephone Number : 972-317-2082
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/16/2025

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