Healthcare Provider Details

I. General information

NPI: 1134820814
Provider Name (Legal Business Name): DEVAN ARLINE REID APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DEVAN CRAWFORD

II. Dates (important events)

Enumeration Date: 03/10/2023
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4214 MAMIES CIR
MIDLAND TX
79707-2123
US

IV. Provider business mailing address

7212 W COUNTY ROAD 42
MIDLAND TX
79707-2004
US

V. Phone/Fax

Practice location:
  • Phone: 432-620-8687
  • Fax:
Mailing address:
  • Phone: 432-631-5916
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1130399
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: