MS. TZIETAL GAIL DAVIDSON (NPI# 1083855936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083855936 |
| Entity Type | Individual |
| Full Name | MS. TZIETAL GAIL DAVIDSON |
| Credential | P.A.-C |
| Practice Address |
1601 E Debbie Ln Suite 2109 Mansfield TX 76063-3674 |
| Practice Telephone | 8174538620 |
| Practice Fax Number | 8174739126 |
| Mailing Telephone | 8174538620 |
| Mailing Fax Number | 8174739126 |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2015-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA06211 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1601 E DEBBIE LN SUITE 2109 |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063-3674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659333771 | Darin Lee Charles | Family Medicine | 1601 E Debbie Ln, Ste#2109, Mansfield, TX 76063-3674 | 2006-04-04 |
| 1326471632 | Q.b. P.l.l.c. | Dentist | 1601 E Debbie Ln, Suite 1125, Mansfield, TX 76063-3665 | 2013-08-11 |
| 1134471626 | Lindsey Sweatt | Physician Assistant | 1601 E Debbie Ln, Suite 2109, Mansfield, TX 76063-3674 | 2012-10-08 |
| 1578735106 | Nancy Georgekutty | Family Medicine | 1601 E Debbie Ln, Suite 2109, Mansfield, TX 76063-3674 | 2008-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| Find all providers in zip 76063 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215447602 | Emily N Keller | Physician Assistant | 335 Glessner Ave Fl Mob2, Mansfield, OH 44903-2269 | 2017-10-11 |
| 1982712345 | Brandy Piacentino | Physician Assistant | 1947 Harrington Memorial Rd, Mansfield, OH 44903-8049 | 2006-08-27 |
| 1275546327 | Marie Moroschok | Physician Assistant | 40 W Wellsboro St, Mansfield Laurel Health Center, Mansfield, PA 16933-1411 | 2006-08-13 |
| 1619955457 | Lawrence William Gess Jr. | Physician Assistant | 2364 Highway 287 N, Suite 115, Mansfield, TX 76063-9208 | 2006-01-03 |
| 1457859381 | Broegan Sautter | Physician Assistant | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2018-01-25 |
| 1740736099 | Kyla Crispe | Physician Assistant | 2800 E Broad St, Ste #124, Mansfield, TX 76063-6414 | 2016-08-28 |
| 1962880328 | Danny Allen Hall | Physician Assistant | 1001 Olivesburg Rd, Mansfield, OH 44905-1228 | 2015-05-18 |
| 1669659363 | Tony Paul | Physician Assistant | 130 Jefferson St, Mansfield, LA 71052-2602 | 2008-01-24 |
| 1144366139 | Ashlee Elaine Braziel | Physician Assistant | 2700 E Broad St, Mansfield, TX 76063-5899 | 2007-01-29 |
| 1437254653 | Melissa M Irwin | Physician Assistant | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2006-09-13 |
| Find all providers in MANSFIELD | ||||
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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.