Provider Demographics
NPI:1578848826
Name:DAVIS, JOSHUA JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:JAMES
Last Name:DAVIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1408 PHEASANT DR
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-4238
Mailing Address - Country:US
Mailing Address - Phone:903-436-2023
Mailing Address - Fax:
Practice Address - Street 1:3230 S EISENHOWER PKWY
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-7818
Practice Address - Country:US
Practice Address - Phone:903-465-1881
Practice Address - Fax:903-463-4070
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11909111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor