Provider Demographics
NPI:1184218356
Name:DAVIS, BARBARA (CD-LABOR)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:CD-LABOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:163 CEDAR RIDGE LOOP
Mailing Address - Street 2:
Mailing Address - City:WHITNEY
Mailing Address - State:TX
Mailing Address - Zip Code:76692-5048
Mailing Address - Country:US
Mailing Address - Phone:254-495-6759
Mailing Address - Fax:
Practice Address - Street 1:1130 6TH AVE APT A
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-4346
Practice Address - Country:US
Practice Address - Phone:682-777-3932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-26
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula