MR. JIMMIE LEE DAVIS JR. (NPI# 1619534518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619534518 |
Entity Type | Individual |
Full Name | MR. JIMMIE LEE DAVIS JR. |
Practice Address |
505 S Timberland Dr Lufkin TX 75901-4084 |
Mailing Address |
607 Burton Ave Lufkin TX 75904-4665 |
Practice Telephone | 9366710996 |
Mailing Telephone | 9366710996 |
Enumeration Date | 2019-05-26 |
Last Update Date | 2019-05-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
1180376 | TX | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225563018 | Jimmie Davis Jr. | Specialist/Technologist, Other | 1109 Bell St, Arlington, TX 76001-7116 | 2017-04-28 |
Street Address |
505 S TIMBERLAND DR |
City | LUFKIN |
State | TX |
Zip Code | 75901-4084 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518485176 | Dana Caroline Carter | Physical Therapist | 211 South Timberland, Lufkin, TX 75901 | 2017-09-05 |
1720433865 | Irene Ifeyinwa Uke | Nurse Practitioner | East Texas Behavioral Health Network, 2001 S Medford Dr., Lufkin, TX 75901 | 2016-04-26 |
1225316417 | Anupama Singh Thapar | Dentist | 1809 Tulane Dr, Aspen Dental, Lufkin, TX 75901 | 2011-07-22 |
1679889901 | A 2 Y Investments | Durable Medical Equipment & Medical Supplies | 5038 Champions Drive, Lufkin, TX 75901 | 2010-08-24 |
1477731321 | Anita K Scoggins | Speech-Language Pathologist | 4100 S Medford Dr Ste 208, Lufkin, TX 75901 | 2008-02-02 |
1891982104 | Assisted Living Concepts Inc | Assisted Living Facility | 406 Gobblers Knob Road, Lufkin, TX 75901 | 2007-10-01 |
1114077724 | Burke Center | Intermediate Care Facility, Mental Illness | 1010 Cunningham, Lufkin, TX 75901 | 2007-01-12 |
1609941921 | Norman Allan Beard | Hearing Instrument Specialist | 2001 N Timberland Dr., Lufkin, TX 75901 | 2006-11-21 |
1619077708 | Brian Thomas Spore | Family Medicine | 3804 S Medford, Lufkin, TX 75901 | 2006-09-25 |
1689634495 | Charles Bryan Pool | Chiropractor | 1400 E Denman Avenue, Lufkin, TX 75901 | 2006-03-24 |
Find all providers in zip 75901 |
Taxonomy Code | 1744P3200X |
Grouping | Other Service Providers |
Classification | Specialist |
Specialization | Prosthetics Case Management |
Definition to come... |
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1245840933 | Shanikqu Lashun George | Specialist | 1515 N. Towneast Blvd., Suite 19, Mesquite, TX 75150 | 2020-08-06 |
1700495835 | Jonesia Melton | Specialist | 210 Highway 3 N Ste B, League City, TX 77573-2132 | 2020-07-24 |
1649888223 | Terry Lamont Jackson | Specialist | 1101 E Yandell Dr, El Paso, TX 79902-5524 | 2020-07-20 |
1033727656 | Janaye Rachelle White | Specialist | 8413 Almeda Rd Ste Q2, Houston, TX 77054-7103 | 2020-07-20 |
1316555022 | Eric Martell Buffington | Specialist | 16811 Fondness Park Dr, Spring, TX 77379-6928 | 2020-07-20 |
1720696479 | Younits Custom Wigs LLC | Specialist | 4909 W Park Blvd Ste 157, Plano, TX 75093-2399 | 2020-07-20 |
1003432089 | Tamika N Brown | Specialist | 12521 Nacogdoches Rd Ste 106, San Antonio, TX 78217-2117 | 2020-06-24 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.