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NPI Code Detail

MEDICARE: LETRICIA DAVIS

MEDICARE:   LETRICIA  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
11041C0700XClinical Social Worker108332TX
21041C0700XClinical Social Worker0904020021VA

General Provider Information

NPI Number : 1407725237
Entity Type Code : Individual
Provider Name (Legal Business Name) : LETRICIA DAVIS
Provider Business Mailing Address
First Line : 5231 IMPRESSION LN
Second Line :
City : KATY
State : TX
Zip : 77493-5101
Country : US
Telephone Number : 346-667-9791
Fax Number :
Provider Business Practice Location Address
First Line : 5231 IMPRESSION LN
Second Line :
City : KATY
State : TX
Zip : 77493-5101
Country : US
Telephone Number : 346-667-9791
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2025
Last Update Date : 03/23/2026

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Directions to “ LETRICIA DAVIS ” Practice Location

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