Provider Demographics
NPI:1518491265
Name:DAVIS, SHERRIE
Entity type:Individual
Prefix:
First Name:SHERRIE
Middle Name:
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 1:18200 WESTFIELD PLACE DR
Mailing Address - Street 2:414
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-1646
Mailing Address - Country:US
Mailing Address - Phone:832-919-6471
Mailing Address - Fax:281-781-8408
Practice Address - Street 1:18200 WESTFIELD PLACE DR
Practice Address - Street 2:414
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-1646
Practice Address - Country:US
Practice Address - Phone:832-919-6471
Practice Address - Fax:281-781-8408
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-19
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX374U0000X374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide