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NPI 1164366878

NPI 1164366878 : ZORICELIS DAVILA PHD PLLC : FORT WORTH, TX

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General NPI Number Information
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    NPI Number           |    1164366878
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    Entity Type          |    Organization 
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    Legal Business Name  |    ZORICELIS DAVILA PHD PLLC 
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Dates
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    Enumeration Date     |    04/15/2026
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    Last Update Date     |    04/15/2026
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Provider Practice Location Address
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    Address Line         |    4200 SOUTH FWY STE 614 
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    City                 |    FORT WORTH
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    State                |    TX
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    Zip                  |    76115-1402
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    Country              |    US
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    Telephone            |    817-798-6199
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    Fax                  |    888-537-4649
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Provider Business Mailing Address
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    Address Line         |    4200 SOUTH FWY STE 614 
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    City                 |    FORT WORTH
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    State                |    TX
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    Zip                  |    76115-1402
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    Country              |    US
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    Telephone            |    817-798-6199
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    Fax                  |    888-537-4649
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Authorized Official
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    Title or Position    |    PSYCHOTHERAPIST & OWNER
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    Name                 |    DR. ZORICELIS DAVILA RODRIGUEZ 
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    Credential           |    PHD
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    Telephone            |    817-798-6199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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