Provider Demographics
NPI:1558857599
Name:DAVES, SEANNA R (MD)
Entity Type:Individual
Prefix:
First Name:SEANNA
Middle Name:R
Last Name:DAVES
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Gender:F
Credentials:MD
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Mailing Address - Street 1:221 W COLORADO BLVD
Mailing Address - Street 2:SUITE 625
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208
Mailing Address - Country:US
Mailing Address - Phone:972-296-2122
Mailing Address - Fax:972-296-2522
Practice Address - Street 1:221 W COLORADO BLVD
Practice Address - Street 2:SUITE 625
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208
Practice Address - Country:US
Practice Address - Phone:972-296-2122
Practice Address - Fax:972-296-2522
Is Sole Proprietor?:No
Enumeration Date:2018-07-02
Last Update Date:2022-12-21
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Provider Licenses
StateLicense IDTaxonomies
TXT8196246XC2903X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No246XC2903XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularVascular Specialist