Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NR0400X | Rehabilitation Chiropractor | 1767 | LA |
N | 111NR0400X | Rehabilitation Chiropractor | 7836 | TX |
Y | 111NR0400X | Rehabilitation Chiropractor | B01660 | NV |
NPI | 1316067846 |
---|---|
Provider Name | Dr. Patrick R.e. Davis |
First Address | North Las Vegas, NV 89033-6543 |
Second Address | North Las Vegas, NV 89032-6607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2007 |
Last Update Date | 28/02/2018 |