Provider Demographics
NPI:1285077438
Name:DAVIS, SARAH BETH (RD)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:BETH
Last Name:DAVIS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1906 SHAWNEE ST
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76209-3330
Mailing Address - Country:US
Mailing Address - Phone:817-694-2757
Mailing Address - Fax:
Practice Address - Street 1:1906 SHAWNEE ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76209-3330
Practice Address - Country:US
Practice Address - Phone:817-694-2757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-08
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered