Organization
DE NOVO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN E STEVENS NP (OWNER)
(888) 699-7126
Entity
Organization
Contact information
Practice address
2603 OAK LAWN AVE, STE 100, DALLAS, TX 75219-4021
(888) 699-7126
Mailing address
2603 OAK LAWN AVE, STE 100, DALLAS, TX 75219-4021
(888) 699-7126
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
552592
TX
Other
Enumeration date
01/27/2011
Last updated
01/27/2011
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