# DE NOVO INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871899518
- **Authorized official:** JOHN E STEVENS NP (OWNER)
- **Authorized official phone:** (888) 699-7126

## Contact information

- **Practice address:** 2603 OAK LAWN AVE, STE 100, DALLAS, TX 75219-4021
- **Practice address phone:** (888) 699-7126
- **Mailing address:** 2603 OAK LAWN AVE, STE 100, DALLAS, TX 75219-4021
- **Mailing address phone:** (888) 699-7126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 552592 | TX | Yes |

## Other

- **Enumeration date:** 01/27/2011
- **Last updated:** 01/27/2011