Individual
DEVRA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
206 S CLAY ST, ENNIS, TX 75119-4527
(903) 600-8358
Mailing address
860 FM 2377, RED OAK, TX 75154-6805
(214) 517-1019
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
1038518
TX
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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