Provider Demographics
NPI:1255017034
Name:DAVIS, UMEKI MONIQUE
Entity type:Individual
Prefix:MS
First Name:UMEKI
Middle Name:MONIQUE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:UMEKI
Other - Middle Name:
Other - Last Name:HINES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:UMEKI HINES
Mailing Address - Street 1:8191 SOUTHWEST FWY STE 103
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1700
Mailing Address - Country:US
Mailing Address - Phone:281-888-2462
Mailing Address - Fax:832-572-5416
Practice Address - Street 1:8191 SOUTHWEST FWY STE 103
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1700
Practice Address - Country:US
Practice Address - Phone:281-888-2462
Practice Address - Fax:832-572-5416
Is Sole Proprietor?:No
Enumeration Date:2023-06-26
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy