Provider Demographics
NPI:1558180950
Name:DAVIS JONES, CYNTHIA G DAVIS
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:G DAVIS
Last Name:DAVIS JONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1318 KENFOREST DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-2145
Mailing Address - Country:US
Mailing Address - Phone:281-467-4568
Mailing Address - Fax:
Practice Address - Street 1:1318 KENFOREST DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-2145
Practice Address - Country:US
Practice Address - Phone:281-467-4568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker