Nicole Bautista Davenport, P.A.-C

NPI #1023382009 in Houston, Texas

Provider Information

NPI Number: 1023382009
Entity Type: Individual
Name: Nicole Bautista Davenport, P.A.-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.-C
Enumeration Date: Mar 8, 2012
Last Updated: Mar 17, 2018

Practice Location

Address: 6560 FANNIN ST STE 1842
City: Houston
State: Texas
ZIP Code: 77030-2715
Phone: (713) 790-2089

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Surgical — Surgical	363AS0400X

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