Provider Demographics
NPI:1942278288
Name:DAVIS, KAREN MONICA (MPT ATC)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:MONICA
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MPT ATC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1001 CROSS TIMBERS RD
Mailing Address - Street 2:STE 1100
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028
Mailing Address - Country:US
Mailing Address - Phone:972-691-1331
Mailing Address - Fax:972-691-1731
Practice Address - Street 1:1001 CROSS TIMBERS RD
Practice Address - Street 2:STE 1100
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028
Practice Address - Country:US
Practice Address - Phone:972-691-1331
Practice Address - Fax:972-691-1731
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1156630225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8T2860OtherBCBS