Individual
DR. DENNIS SCOTT DEVINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
700 OLYMPIC PLAZA CIR, SUITE 600, TYLER, TX 75701-1951
(903) 596-3844
(903) 596-3843
Mailing address
PO BOX 9477, TYLER, TX 75711-9477
(903) 594-2450
(903) 509-0493
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L7355
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8J8312
BLUE CROSS
TX
01
—
P00059858
RAILROAD MEDICARE
TX
Enumeration date
06/01/2006
Last updated
12/21/2007
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