Kara Davis, RD, CSG, LD | |
2231 Butler St, Dallas, TX 75235-7826 | |
(214) 590-5224 | |
Not Available |
Full Name | Kara Davis |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 2231 Butler St, Dallas, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245823079 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133VN1101X | Dietitian, Registered - Nutrition, Gerontological | DT06401 (Texas) | Secondary |
133V00000X | Dietitian, Registered | DT06401 (Texas) | Primary |
Provider Name | Dallas County Hospital District |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831198506 PECOS PAC ID: 8325934813 Enrollment ID: O20040315000583 |
Mailing Address | Practice Location Address |
---|---|
Kara Davis, RD, CSG, LD 5433 Percy Priest St, Fort Worth, TX 76179-1480 Ph: (817) 291-7520 | Kara Davis, RD, CSG, LD 2231 Butler St, Dallas, TX 75235-7826 Ph: (214) 590-5224 |
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