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Individual

DR. KAREN THOMPSON DEVILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2450 HOLCOMBE BLVD, STE NB-34L, 6701 FANNIN STREET, HOUSTON, TX 77021
(713) 796-0003
(713) 796-0005
Mailing address
2450 HOLCOMBE BLVD, STE NB-34L, 6701 FANNIN STREET, HOUSTON, TX 77021
(713) 796-0003
(713) 796-0005

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
H7050
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
061070101
TX
01
085387101
MEDICAID TX GROUP
01
84777X
BCBS
TX
Enumeration date
10/06/2006
Last updated
11/05/2020
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