| Deana Davis, | |
|
1300 N Main Ave, Big Lake, TX 76932-3202 | |
| (325) 884-3743 | |
| (325) 884-2996 |
| Full Name | Deana Davis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1300 N Main Ave, Big Lake, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811451040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1136578 (Texas) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | 1136578 (Texas) | Secondary |
| Entity Name | Reeves County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447417209 PECOS PAC ID: 2567353469 Enrollment ID: O20040503001121 |
| Mailing Address | Practice Location Address |
|---|---|
| Deana Davis, 1300 N Main Ave, Big Lake, TX 76932-3202 Ph: (325) 884-3743 | Deana Davis, 1300 N Main Ave, Big Lake, TX 76932-3202 Ph: (325) 884-3743 |
David Bushnell, RN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1300 N Main, Big Lake, TX 76932 Phone: 325-884-3743 | |
Farah Gee Sears, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 N Main Ave, Big Lake, TX 76932 Phone: 325-370-6699 Fax: 325-219-6081 | |
Mrs. Ethel Olivia King, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1300 N Main, Big Lake, TX 76932 Phone: 325-884-2561 |