NPI 1043047921

Clarissa Yuvonne Davidson

Practitioner Prosthetist Fort Worth, TX

Practice location

Address: 5705 Diaz Ave, Fort Worth, TX 76107-5801
Phone: (318) 624-6614
Mailing address: 9979 Highway 79, Haynesville, LA 71038-4913

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1043047921
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Sep 2024
Record last updated: 16 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.