Provider Demographics
NPI:1699581371
Name:DAVIS, CAROLYN S (EDD)
Entity type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:S
Last Name:DAVIS
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20347 CREEKDALE BEND DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-7216
Mailing Address - Country:US
Mailing Address - Phone:832-417-3254
Mailing Address - Fax:
Practice Address - Street 1:13700 VETERANS MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1026
Practice Address - Country:US
Practice Address - Phone:844-810-6289
Practice Address - Fax:832-218-9001
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach