Individual
MICHAEL T. DEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6565 FANNIN ST, HOUSTON, TX 77030-2703
(713) 394-6450
Mailing address
PO BOX 4701, HOUSTON, TX 77210-4701
(800) 288-8325
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
K4037
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41369201
—
TX
01
—
82M540
BCBS
TX
Enumeration date
09/21/2006
Last updated
03/01/2025
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