Organization
DENOVO PROFESSIONAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN E STEVENS NP (OWNER)
(214) 219-4000
Entity
Organization
Contact information
Practice address
2603 OAK LAWN AVE, SUITE 101, DALLAS, TX 75219-4021
(214) 219-4000
Mailing address
2603 OAK LAWN AVE, SUITE 101, DALLAS, TX 75219-4021
(214) 219-4000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
552592
TX
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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