Provider Demographics
NPI:1225518418
Name:DAVIS-DOBBINS, CARITA
Entity Type:Individual
Prefix:
First Name:CARITA
Middle Name:
Last Name:DAVIS-DOBBINS
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 1:8775 OTHELLO ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77029-3353
Mailing Address - Country:US
Mailing Address - Phone:832-867-1839
Mailing Address - Fax:
Practice Address - Street 1:8775 OTHELLO ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77029-3353
Practice Address - Country:US
Practice Address - Phone:832-867-1839
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-16
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health