Most Relevant Information
Provider Data
| NPI Number: | 1003581919 |
| Provider Name: | STEPHANIE ANN DAVENPORT CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0200X |
| Specialty: | Registered Nurse |
| License Number: | 788524 |
Most Important Dates
| Enumeration Date: | 08/12/2021 |
| Last Updated: | 11/22/2021 |
Provider Practice Location
6651 MAIN ST LOT 1940
HOUSTON
TX
770302351
Practice Location Phone/Fax
| Phone: | 8328265832 |
| Fax: |
Provider Mailing Location
2 E COTTAGE GREEN ST
THE WOODLANDS
TX
773821184
Provider Mailing Phone/Fax
| Phone: | 8323263321 |
| Fax: |