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Contact Information

TARA B DEVILLE, NP
3195 DOWLEN RD STE 105
BEAUMONT, TX77706
 Phone: 409-204-0257
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TARA B DEVILLE · (Female)

NPI Number 1104184845
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 05/01/2012
Last updated 06/13/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 712309
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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