Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Bautista Davenport, PA-C

Individual provider Physician Assistant · NPI 1023382009

Nicole Bautista Davenport, PA-C is a Physician Assistant in Houston, Texas. Qualified in 2011, 15 years ago. Practices with Houston Methodist Specialty Physicians, a 1,492-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
15
Licensed in
TX
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6560 Fannin St Ste 1842
Houston, TX 77030-2715
Phone: (713) 790-2089
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6560 Fannin St, Houston, TX 77030-2761 — (713) 790-2089
  • 6560 Fannin St, Houston, TX 77030-2761 — (713) 790-2089

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA07728 (TX)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA00000 (TX)

Record details

NPI number1023382009
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 8, 2012
Last updated in NPPESMarch 17, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Houston Methodist Specialty Physicians — 1492 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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