Provider Demographics
NPI:1407299720
Name:DAVIDSON, SHERI JENE' (LAC)
Entity Type:Individual
Prefix:MISS
First Name:SHERI
Middle Name:JENE'
Last Name:DAVIDSON
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2503 ROBINHOOD ST STE 120
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-2500
Mailing Address - Country:US
Mailing Address - Phone:713-942-7110
Mailing Address - Fax:713-942-7110
Practice Address - Street 1:2503 ROBINHOOD ST STE 120
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-2500
Practice Address - Country:US
Practice Address - Phone:713-942-7110
Practice Address - Fax:713-942-7110
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-17
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00938171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist