MEDICARE: LAWRENCE DEVOLLD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	RS2012-0516	NM
2	207Q00000X	Family Medicine Physician	Q5172	TX

General Provider Information

NPI Number	:	1609130301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAWRENCE DEVOLLD M.D.

Provider Business Mailing Address
First Line	:	PO BOX 22000
Second Line	:
City	:	SAN ANGELO
State	:	TX
Zip	:	76902-7200
Country	:	US
Telephone Number	:	325-658-1511
Fax Number	:

Provider Business Practice Location Address
First Line	:	2503 S GREGG ST
Second Line	:	UNIT C
City	:	BIG SPRING
State	:	TX
Zip	:	79720-6553
Country	:	US
Telephone Number	:	325-658-1511
Fax Number	:	325-481-2266

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2012
Last Update Date	:	07/22/2015

Similar Medicare Providers

1033079058 — DELANIE MCELROY MSN, APRN, FNP-C
Practice Location Address:

103 W 11TH ST
BIG SPRING, TX
79720-2913

Practice Phone: 432-517-4557
Practice Fax: 806-894-3378

1861850562 — LYNN A MCCORMICK
Practice Location Address:

103 W 11TH ST
BIG SPRING, TX
79720-2913

Practice Phone: 432-517-4557
Practice Fax: 806-894-3378

1003795642 — KATRINA PETROWSKI FNP-C
Practice Location Address:

103 W 11TH ST
BIG SPRING, TX
79720-2913

Practice Phone: 432-517-4557
Practice Fax:

1235959891 — VICKY LEE QUILANTAN MSN, FNP- BC
Practice Location Address:

103 W 11TH ST
BIG SPRING, TX
79720-2913

Practice Phone: 432-517-4557
Practice Fax: 806-894-3378

1811755846 — BRANDI AVILA
Practice Location Address:

3608 CALVIN ST
BIG SPRING, TX
79720-6806

Practice Phone: 432-270-1039
Practice Fax:

1437092632 — JASMINE GROSSE
Practice Location Address:

300 W VETERANS BLVD
BIG SPRING, TX
79720-5566

Practice Phone: 615-355-3451
Practice Fax:

Directions to “ LAWRENCE DEVOLLD M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.