MEDICARE: NORA J DAVIS M.D.

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	2084P0800X	Psychiatry Physician	J4071	TX

General Provider Information

NPI Number	:	1528032927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NORA J DAVIS M.D.

Provider Business Mailing Address
First Line	:	17000 EL CAMINO REAL
Second Line	:	STE. 302A
City	:	HOUSTON
State	:	TX
Zip	:	77058-2636
Country	:	US
Telephone Number	:	281-282-9000
Fax Number	:	281-282-9355

Provider Business Practice Location Address
First Line	:	17000 EL CAMINO REAL
Second Line	:	STE. 302A
City	:	HOUSTON
State	:	TX
Zip	:	77058-2636
Country	:	US
Telephone Number	:	281-282-9000
Fax Number	:	281-282-9355

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

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	02/29/2008

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