Provider Demographics
NPI:1881840700
Name:PATRICIA SIMPSON DAVIS, PLLC
Entity Type:Organization
Organization Name:PATRICIA SIMPSON DAVIS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:SIMPSON
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:979-543-4600
Mailing Address - Street 1:317 W CALHOUN ST
Mailing Address - Street 2:
Mailing Address - City:EL CAMPO
Mailing Address - State:TX
Mailing Address - Zip Code:77437-4211
Mailing Address - Country:US
Mailing Address - Phone:979-543-4600
Mailing Address - Fax:979-543-5269
Practice Address - Street 1:317 W CALHOUN ST
Practice Address - Street 2:
Practice Address - City:EL CAMPO
Practice Address - State:TX
Practice Address - Zip Code:77437-4211
Practice Address - Country:US
Practice Address - Phone:979-543-4600
Practice Address - Fax:979-543-5269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12412101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX026429301Medicaid