| Peggy J Davidson, CRNP | |
|
455 Rice Rd Ste 108, #108, Tyler, TX 75703-3604 | |
| (903) 939-0799 | |
| (903) 939-0799 |
| Full Name | Peggy J Davidson |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 455 Rice Rd Ste 108, Tyler, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679583793 | NPI | - | NPPES |
| 175568801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 249499 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Peggy J Davidson, CRNP 108 Fenton Rd, Longview, TX 75604-1119 Ph: (903) 939-0799 | Peggy J Davidson, CRNP 455 Rice Rd Ste 108, #108, Tyler, TX 75703-3604 Ph: (903) 939-0799 |
Tiffany Williams, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 9846 Hwy 31 E, Tyler, TX 75705 Phone: 903-592-8001 | |
Kimberly Mills, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 9846 Hwy 31 E, Tyler, TX 75705 Phone: 903-592-8001 | |
Vongretshun Smith-gross, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 9846 Hwy 31 E, Tyler, TX 75705 Phone: 903-525-3801 Fax: 903-525-3858 | |
Mary Craddock, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 9846 Hwy 31 E, Tyler, TX 75705 Phone: 903-525-3995 Fax: 903-525-3858 | |
Vickie Denise Brown, LVN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 755 S Beckham Ave, Tyler, TX 75701 Phone: 903-534-4684 | |
Pennye Sheridan, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 755 S Beckham Ave, Tyler, TX 75701 Phone: 903-534-4684 | |
Mary Farrar, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 755 S Beckham Ave, Tyler, TX 75701 Phone: 903-534-4684 |