Dr Devereaux Lashonti Nollie, MD | |
3533 S Alameda St, Corpus Christi, TX 78411-1721 | |
(361) 694-4700 | |
(361) 694-4701 |
Full Name | Dr Devereaux Lashonti Nollie |
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Gender | Female |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 3533 S Alameda St, Corpus Christi, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194865121 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | M3048 (Texas) | Secondary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | M3048 (Texas) | Primary |
Entity Name | Children's Physician Services Of South Texas |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568658227 PECOS PAC ID: 3678478872 Enrollment ID: O20040324001704 |
Mailing Address | Practice Location Address |
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Dr Devereaux Lashonti Nollie, MD 3533 S Alameda St, Corpus Christi, TX 78411-1721 Ph: (361) 694-4700 | Dr Devereaux Lashonti Nollie, MD 3533 S Alameda St, Corpus Christi, TX 78411-1721 Ph: (361) 694-4700 |
Umamaheswara Rao Maruvada, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 4234 Weber Road, Corpus Christi, TX 78411 Phone: 361-857-2090 Fax: 361-814-6302 | |
Marcos J. Valdez, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3533 S Alameda St, Corpus Christi, TX 78411 Phone: 361-694-6747 Fax: 361-808-2070 | |
Dr. Chad Bradford, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 10651 E St, Corpus Christi, TX 78419 Phone: 361-961-3620 | |
Dr. Nestor Hugo Praderio, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1315 Santa Fe St Ste 201, Corpus Christi, TX 78404 Phone: 361-887-9600 Fax: 361-883-1661 | |
John Marcus Kirk, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 205 S Enterprize Pkwy, Corpus Christi, TX 78405 Phone: 361-939-6510 | |
Dr. Lisa Marie Vela, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1533 S Brownlee Blvd, Corpus Christi, TX 78404 Phone: 361-886-3065 Fax: 361-886-3093 |