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Individual

SAUDAMINI A. DEVDAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHCNP

Contact information

Practice address
5201 HARRY HINES BLVD, WISH TUBAL CLINIC, DALLAS, TX 75235-7708
(214) 590-5306
(214) 590-2798
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
426538
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
041543202
TX
05
041543203
TX
05
041543204
TX
05
041543205
TX
05
041543206
TX
05
041543207
TX
05
041543208
TX
05
041543209
TX
05
041543210
TX
05
041543211
TX
05
041543212
TX
05
163681301
TX
01
8N4869
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/28/2005
Last updated
04/13/2009
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