Individual
MRS. DEVAH NIKOLE PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 MEDICAL DR, CLARENDON, TX 79226-6046
(806) 874-3531
(806) 874-2244
Mailing address
ONE MEDICAL DRIVE, CLARENDON, TX 79226
(806) 874-3531
(806) 874-2244
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05325
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2831612-04
—
TX
Enumeration date
11/14/2007
Last updated
11/30/2015
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