Provider Demographics
NPI:1427138114
Name:MANOR, DAVIDA ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:DAVIDA
Middle Name:ELIZABETH
Last Name:MANOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1240 W 22ND ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1808
Mailing Address - Country:US
Mailing Address - Phone:917-678-0104
Mailing Address - Fax:
Practice Address - Street 1:1240 W 22ND ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1808
Practice Address - Country:US
Practice Address - Phone:917-678-0104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9795207PE0004X, 207P00000X
NY2240771207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services