Provider Demographics
NPI:1588480834
Name:DAVIDSON HEALTHCARE SERVICES, LLC
Entity type:Organization
Organization Name:DAVIDSON HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIDSON
Authorized Official - Suffix:
Authorized Official - Credentials:CPC, RCMS, CPPM
Authorized Official - Phone:832-990-9494
Mailing Address - Street 1:3206 RIVIERA LN
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-2658
Mailing Address - Country:US
Mailing Address - Phone:832-990-9494
Mailing Address - Fax:346-477-8151
Practice Address - Street 1:3206 RIVIERA LN
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-2658
Practice Address - Country:US
Practice Address - Phone:832-990-9494
Practice Address - Fax:346-477-8151
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DAVIDSON HEALTHCARE SERVICE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Y00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationGroup - Multi-Specialty