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NPI Code Detail

MEDICARE: ERNESTINA DAVILA

MEDICARE: ERNESTINA DAVILA
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
1163WC0400XCase Management Registered Nurse887454TX

General Provider Information

NPI Number : 1629557566
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERNESTINA DAVILA
Provider Business Mailing Address
First Line : 5001 PEASE ST # B
Second Line :
City : HOUSTON
State : TX
Zip : 77023-1923
Country : US
Telephone Number : 713-853-7474
Fax Number :
Provider Business Practice Location Address
First Line : 110 CYPRESS STATION DR STE 270
Second Line :
City : HOUSTON
State : TX
Zip : 77090-1639
Country : US
Telephone Number : 832-253-1188
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2018
Last Update Date : 08/10/2018

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Directions to “ ERNESTINA DAVILA ” Practice Location

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