Provider Demographics
NPI:1629899505
Name:DAVIS, CASITA RAMEKIA
Entity type:Individual
Prefix:
First Name:CASITA
Middle Name:RAMEKIA
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 1:152 PURPLE SANDPIPER LN
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-5421
Mailing Address - Country:US
Mailing Address - Phone:512-713-5066
Mailing Address - Fax:
Practice Address - Street 1:11880 HERO WAY W STE 701
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-8594
Practice Address - Country:US
Practice Address - Phone:512-942-7904
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide