Provider Demographics
NPI:1295441343
Name:DAVIS, ARTHUR WILLIAM (LPA-I)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:WILLIAM
Last Name:DAVIS
Suffix:
Gender:
Credentials:LPA-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:985 IH 10 N
Mailing Address - Street 2:SUITE 110G
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-4815
Mailing Address - Country:US
Mailing Address - Phone:409-203-5345
Mailing Address - Fax:
Practice Address - Street 1:985 IH 10 N
Practice Address - Street 2:SUITE 110G
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-4815
Practice Address - Country:US
Practice Address - Phone:409-203-5345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-23
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39709103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical