Provider Demographics
NPI:1699153114
Name:DAVIS, NATALIE
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:DAVIS
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 1:2025 DOLLY WRIGHT ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77088-7720
Mailing Address - Country:US
Mailing Address - Phone:832-623-1637
Mailing Address - Fax:832-487-8070
Practice Address - Street 1:2025 DOLLY WRIGHT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77088-7720
Practice Address - Country:US
Practice Address - Phone:832-623-1637
Practice Address - Fax:832-487-8070
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-16
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker