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Dr. Ronald Devere
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NPI Number Detailed Information
Provider Information:
| Name: | Dr. Ronald Devere |
| Gender: | M |
| Provider License Number If Given: | E3253 |
NPI Information:
| NPI: | 1770582058 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 7/19/2005 |
| Last Update Date: | 7/8/2007 |
Provider Business Mailing Address:
| Address: | 1200 LAKEWAY DR STE 8 Lakeway, TX 78734 |
| Phone Number: | 5122617909 |
| Fax Number: | 5124029241 |
Provider Business Practice Location Address:
| Address: | 1200 LAKEWAY DR STE 8 Lakeway, TX 78734 |
| Phone Number: | 5122617909 |
| Fax Number: | 5124029241 |
Provider Taxonomy:
| Primary: | 2084N0400X |
| Secondary (if any): | |
| State: | TX |
