Provider Demographics
NPI:1528032927
Name:DAVIS, NORA J (MD)
Entity Type:Individual
Prefix:
First Name:NORA
Middle Name:J
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17000 EL CAMINO REAL
Mailing Address - Street 2:STE. 302A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-2636
Mailing Address - Country:US
Mailing Address - Phone:281-282-9000
Mailing Address - Fax:281-282-9355
Practice Address - Street 1:17000 EL CAMINO REAL
Practice Address - Street 2:STE. 302A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-2636
Practice Address - Country:US
Practice Address - Phone:281-282-9000
Practice Address - Fax:281-282-9355
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ40712084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00539FMedicare PIN
TXF80877Medicare UPIN