Provider Demographics
NPI:1336695261
Name:DAVIS, CIARA N (DC)
Entity Type:Individual
Prefix:DR
First Name:CIARA
Middle Name:N
Last Name:DAVIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 ROLLINGBROOK ST
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-4036
Mailing Address - Country:US
Mailing Address - Phone:281-422-8811
Mailing Address - Fax:281-422-5372
Practice Address - Street 1:507 ROLLINGBROOK ST
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-4036
Practice Address - Country:US
Practice Address - Phone:281-422-8811
Practice Address - Fax:281-422-5372
Is Sole Proprietor?:No
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13216111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor