Provider Demographics
NPI:1093164089
Name:DAVILA, SUGEILY MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:SUGEILY
Middle Name:MARIE
Last Name:DAVILA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:SUGEILY
Other - Middle Name:MARIE
Other - Last Name:DAVILA VAZQUEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:14900 MEMORIAL DR APT 229
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-4059
Mailing Address - Country:US
Mailing Address - Phone:787-361-0302
Mailing Address - Fax:
Practice Address - Street 1:21777 MERCHANTS WAY STE 240
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-6883
Practice Address - Country:US
Practice Address - Phone:787-361-0302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-09
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13223111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor