MEDICARE: BARBARA DAVIS CD-LABOR

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
1	374J00000X	Doula

General Provider Information

NPI Number	:	1184218356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA DAVIS CD-LABOR

Provider Business Mailing Address
First Line	:	163 CEDAR RIDGE LOOP
Second Line	:
City	:	WHITNEY
State	:	TX
Zip	:	76692-5048
Country	:	US
Telephone Number	:	254-495-6759
Fax Number	:

Provider Business Practice Location Address
First Line	:	1130 6TH AVE APT A
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-4346
Country	:	US
Telephone Number	:	682-777-3932
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2021
Last Update Date	:	02/26/2021

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