CHANDRA LYN DAVENPORT (NPI# 1194810622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194810622 |
Entity Type | Individual |
Full Name | CHANDRA LYN DAVENPORT |
Credential | PA-C |
Practice Address |
12221 Merit Dr Suite 1610 Dallas TX 75251-2202 |
Practice Telephone | 9723720912 |
Practice Fax Number | 2142171901 |
Mailing Telephone | 9723720912 |
Mailing Fax Number | 2142171901 |
Enumeration Date | 2006-10-03 |
Last Update Date | 2012-10-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA04620 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 3010613-01 | 05 |
Street Address |
12221 MERIT DR SUITE 1610 |
City | DALLAS |
State | TX |
Zip Code | 75251-2202 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831162874 | Dipauni S Doshi | Internal Medicine | 12221 Merit Dr, Ste 1500, Dallas, TX 75251-2202 | 2006-02-09 |
1962959007 | Rebecca Conroy | Nurse Practitioner | 12221 Merit Dr, Suite 1500, Dallas, TX 75251-2202 | 2016-09-07 |
1164884599 | Lindsey Lawrence | Physician Assistant | 12221 Merit Dr, Suite 1500, Dallas, TX 75251-2202 | 2016-03-24 |
1972965770 | Ifeatu Okafor | Physician Assistant | 12221 Merit Dr, #1500, Dallas, TX 75251-2202 | 2016-03-22 |
1790145456 | Beverly Catherine Weickgenant | Physician Assistant | 12221 Merit Dr, Suite 1500, Dallas, TX 75251-2202 | 2016-02-24 |
1235596578 | Kimberly Ann Lyon | Physician Assistant | 12221 Merit Dr, Suite 1500, Dallas, TX 75251-2202 | 2016-01-18 |
1619364874 | Frisco Spine, P.a. | Neurological Surgery | 12221 Merit Dr, Suite 620, Dallas, TX 75251-2202 | 2015-04-24 |
1306288634 | Questcare Surgicalists Pllc | Surgery | 12221 Merit Dr, Suite 1610, Dallas, TX 75251-2202 | 2013-07-29 |
1912340431 | Christopher Terry Kennedy | Emergency Medicine | 12221 Merit Dr, Suite 1500, Dallas, TX 75251-2202 | 2013-04-15 |
1265772503 | Beverly L Farris | Nurse Practitioner | 12221 Merit Dr, Suite 1610, Dallas, TX 75251-2202 | 2013-02-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003387317 | Patricia Maria Torres | Specialist/Technologist | 12270 Coit Rd. #870, Dallas, TX 75251 | 2018-12-13 |
1437654043 | Precision Med Consultants | Anesthesiology | 12200 Park Central Dr Ste 300, Dallas, TX 75251 | 2018-03-26 |
1346650496 | Joseph Hughes Snow Iv | Emergency Medicine | Envision, 12221 Merit Dr Suite 1500, Dallas, TX 75251 | 2014-04-29 |
1033558317 | Emily B. Becher | Registered Nurse | 12221 Ment Drive, Suite 1500, Dallas, TX 75251 | 2013-06-19 |
1164713178 | Feraidoon Aminzadeh | Chiropractor | 8001 Lbj Freeway, Suite 401, Dallas, TX 75251 | 2011-04-25 |
1801035738 | Bharti V Bhakta | Clinic/Center | 7750 Lbj Freeway, Dallas, TX 75251 | 2009-02-17 |
1114111549 | Merit Comprehensive Care | Clinic/Center | 12200 Park Central Dr., Suite 189, Dallas, TX 75251 | 2007-08-29 |
1790906683 | Amee Godkin Nash | Counselor | 7808 Clodus Field Drive, Dallas, TX 75251 | 2007-05-01 |
1740302561 | Asjad M Khan | Internal Medicine | 1221 Merit Drive, 1610, Dallas, TX 75251 | 2007-04-04 |
1891845681 | Zachary A Goldman | Emergency Medicine | Questcare Partners, 12221 Merit Dr #1610, Dallas, TX 75251 | 2007-01-12 |
Find all providers in zip 75251 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821641051 | Kelsey Young | Physician Assistant | 12201 Merit Dr Ste 400, Dallas, TX 75251-3117 | 2019-07-17 |
1558863555 | Kyra Nicole Logan | Physician Assistant | 221 W Colorado Blvd Pav II Ste. 425, Dallas, TX 75208-7520 | 2018-03-06 |
1386169175 | Lauren Moore | Physician Assistant | 5201 Harry Hines Blvd Fl Htower1, Dallas, TX 75235-7708 | 2017-08-14 |
1811427594 | Jena Benik | Physician Assistant | 7777 Forest Ln Ste B122, Dallas, TX 75230-6806 | 2017-06-15 |
1881123909 | One Healthcare LLC | Physician Assistant | 1722 Routh St Ste 900, Dallas, TX 75201-2588 | 2017-06-12 |
1972037307 | Morrison Medical | Physician Assistant | 17746 Preston Rd Ste 100, Dallas, TX 75252-5736 | 2017-04-12 |
1205297652 | Keri Miller | Physician Assistant | 9780 Lbj Fwy Ste 124, Dallas, TX 75243-6847 | 2016-03-14 |
1275907776 | Aleshia Mutai | Physician Assistant | 5800 E Lovers Ln, Dallas, TX 75206-2901 | 2015-11-20 |
1588049613 | Yvonne Conard | Physician Assistant | 2650 Cedar Springs Rd, #5535, Dallas, TX 75201-1495 | 2015-07-30 |
1699174599 | John Michael Cline | Physician Assistant | 5201 Harry Hines Boulevard, Psychiatric Emergency Room, Dallas, TX 75235 | 2014-08-15 |
Find all providers in DALLAS |
Please comment or provide details below to improve the information on CHANDRA LYN DAVENPORT.
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.