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NPI Code Detail

MEDICARE: ANGELA DAVIDSON

MEDICARE: ANGELA DAVIDSON
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
1367500000XCertified Registered Nurse Anesthetist535806TX
2367500000XCertified Registered Nurse AnesthetistAP108348TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3430068045OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
282232UOTHERTXBLUE CROSS PROVIDER ID

General Provider Information

NPI Number : 1811976350
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA DAVIDSON
Provider Business Mailing Address
First Line : 6501 FANNIN ST STE NC114
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2703
Country : US
Telephone Number : 713-798-7356
Fax Number :
Provider Business Practice Location Address
First Line : 20171 CHASEWOOD PARK DR
Second Line :
City : HOUSTON
State : TX
Zip : 77070-1437
Country : US
Telephone Number : 832-534-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2006
Last Update Date : 08/14/2023

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Directions to “ ANGELA DAVIDSON ” Practice Location

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