Provider Demographics
NPI:1508208968
Name:DAVIS, NARTARSHA (HAIR LOSS SPECIALIST)
Entity Type:Individual
Prefix:
First Name:NARTARSHA
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:HAIR LOSS SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17106 WESTMINSTER VILLAGE CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-6476
Mailing Address - Country:US
Mailing Address - Phone:832-607-4247
Mailing Address - Fax:281-857-6703
Practice Address - Street 1:8560 HIGHWAY 6 N
Practice Address - Street 2:SUITE #603
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-2242
Practice Address - Country:US
Practice Address - Phone:832-607-4247
Practice Address - Fax:281-857-6703
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-25
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11665701744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management