IRA DAVENPORT

HOUSTON, TX
NPI1790147460
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: TX  PA10424)
Enumeration Date2016-03-22
Last Update Date2016-04-01
Business Address
-- IRA DAVENPORT PA-C
6701 FANNIN ST
HOUSTON, TX 77030-2608
Phone number: 832-824-1000
Mailing Address
-- IRA DAVENPORT PA-C
2 GREENWAY PLZ STE 300
HOUSTON, TX 77046-0207
Phone number: 832-828-3660