Healthcare Provider Details

I. General information

NPI: 1699639344
Provider Name (Legal Business Name): KAREN DAVIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2820 VILLAGE PKWY
HIGHLAND VILLAGE TX
75077-3295
US

IV. Provider business mailing address

2820 VILLAGE PKWY
HIGHLAND VILLAGE TX
75077-3295
US

V. Phone/Fax

Practice location:
  • Phone: 972-317-2082
  • Fax:
Mailing address:
  • Phone: 972-317-2082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number1219279
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: