Provider Demographics
NPI:1508030354
Name:DAVENPORT, BARBARA A (LICENSED MIDWIFE)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:A
Last Name:DAVENPORT
Suffix:
Gender:F
Credentials:LICENSED MIDWIFE
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:G
Other - Last Name:DAVENPORT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LICENSED MIDWIFE
Mailing Address - Street 1:121 DRAEGER DR
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:TX
Mailing Address - Zip Code:77486-2619
Mailing Address - Country:US
Mailing Address - Phone:979-345-7763
Mailing Address - Fax:979-345-7763
Practice Address - Street 1:121 DRAEGER DR
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:TX
Practice Address - Zip Code:77486-2619
Practice Address - Country:US
Practice Address - Phone:979-345-7763
Practice Address - Fax:979-345-7763
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX97001175M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay