Provider Demographics
NPI:1356827075
Name:DAVILA, CLAUDIA EDITH (LVN)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:EDITH
Last Name:DAVILA
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11027 FIELD VIEW CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77075-4671
Mailing Address - Country:US
Mailing Address - Phone:713-818-5151
Mailing Address - Fax:
Practice Address - Street 1:11027 FIELD VIEW CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77075-4671
Practice Address - Country:US
Practice Address - Phone:713-818-5151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-16
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118914164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164X00000XNursing Service ProvidersLicensed Vocational NurseGroup - Single Specialty