Provider Demographics
NPI:1962054346
Name:DAVIS, MEAGAN CHASE (DNP, APRN, FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:MEAGAN
Middle Name:CHASE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
Other - Prefix:DR
Other - First Name:MEAGAN
Other - Middle Name:CHASE
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP, APRN, FNP-BC
Mailing Address - Street 1:5015 HARTWELL DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-2367
Mailing Address - Country:US
Mailing Address - Phone:713-591-2517
Mailing Address - Fax:
Practice Address - Street 1:902 FROSTWOOD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2420
Practice Address - Country:US
Practice Address - Phone:713-456-6447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-15
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP142206363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily