MS. TZIETAL GAIL DAVIDSON P.A.-C NPI 1083855936

NPI Information

  • NPI: 1083855936
  • Provider Name: MS. TZIETAL GAIL DAVIDSON, P.A.-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1601 E DEBBIE LN
    SUITE 2109
    MANSFIELD, TX
    ZIP 76063
  • Phone: (817) 453-8620

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NPI Details

MS. Tzietal Gail Davidson, P.A.-C is a medical physician assistant in Mansfield, TX. MS. Tzietal Gail Davidson, P.A.-C NPI is 1083855936. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1601 E DEBBIE LN
SUITE 2109
MANSFIELD, TX
ZIP 76063-674
Phone: (817) 453-8620
Fax: (817) 473-9126

The NPI 1083855936 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 3/23/2009 and was last updated on 6/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA06211TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1284676YL8LMEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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