Devon Shenae Brock, NP-C | |
539 Se 2nd St, Tulia, TX 79088-2400 | |
(806) 995-3581 | |
Not Available |
Full Name | Devon Shenae Brock |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 539 Se 2nd St, Tulia, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588266399 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1014033 (Texas) | Primary |
Entity Name | Swisher Memorial Healthcare System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518253194 PECOS PAC ID: 2365610490 Enrollment ID: O20120703000523 |
Entity Name | Bsa Physicians Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457696916 PECOS PAC ID: 3971748146 Enrollment ID: O20130319000147 |
Mailing Address | Practice Location Address |
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Devon Shenae Brock, NP-C Po Box 808, Tulia, TX 79088-0808 Ph: (806) 995-3581 | Devon Shenae Brock, NP-C 539 Se 2nd St, Tulia, TX 79088-2400 Ph: (806) 995-3581 |
Amanda Gayle Watson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 Hospital Ave, Tulia, TX 79088 Phone: 806-995-4122 Fax: 806-995-8283 | |
Kimberly Dawn George, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Hospital Ave, Box 846, Tulia, TX 79088 Phone: 806-995-4122 Fax: 806-995-4663 |