Provider Demographics
NPI:1598244758
Name:DAVIS, EYEKA LEONI
Entity Type:Individual
Prefix:
First Name:EYEKA
Middle Name:LEONI
Last Name:DAVIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2218 ISABELLA ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-4330
Mailing Address - Country:US
Mailing Address - Phone:832-453-6261
Mailing Address - Fax:
Practice Address - Street 1:11014 TRIOLA LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-3022
Practice Address - Country:US
Practice Address - Phone:832-453-6261
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-08
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
251E00000XOtherHOMEHEALTH