=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851992994
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ANGELA DAVIS FNP-BC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/05/2020
-----------------------------------------------------
Last Update Date | 06/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8588 KATY FWY STE 226A
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77024-1881
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-532-6884
-----------------------------------------------------
Fax | 713-532-5756
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11375 S SAM HOUSTON PKWY W STE 150
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77031-2347
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-496-5133
-----------------------------------------------------
Fax | 346-291-1161
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 1018790
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------