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Individual

BRENDAN DEVINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(614) 578-5090
Mailing address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(614) 578-5090

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
125061002
IL
207P00000X
Emergency Medicine Physician
Primary
Q8046
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/22/2012
Last updated
01/22/2017
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