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1790147460
IRA L DAVENPORT
HOUSTON, TX
NPI
1790147460
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA10424)
Enumeration Date
2016-03-22
Last Update Date
2024-09-03
Business Address
IRA L DAVENPORT PA-C
1515 HOLCOMBE BLVD
HOUSTON, TX 77030-4000
Phone number: 713-792-6161
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Mailing Address
IRA L DAVENPORT PA-C
PO BOX 4439
HOUSTON, TX 77210-4439
Phone number: 713-792-2991
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