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1740045590
MARINA RENEE DURRETT DAVENPORT
KATY, TX
NPI
1740045590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA18494)
Enumeration Date
2024-02-20
Last Update Date
2024-11-01
Business Address
MARINA RENEE DURRETT DAVENPORT
23910 KATY FWY
KATY, TX 77494-1395
Phone number: 713-568-8986
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Mailing Address
MARINA RENEE DURRETT DAVENPORT
6400 FANNIN ST STE 1700
HOUSTON, TX 77030-1526
Phone number: 713-486-1700
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