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NPI Code Detail

MEDICARE: DR. DEVEN MARIE MCMORROW-REID MD

MEDICARE: DR. DEVEN MARIE MCMORROW-REID MD
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
1208000000XPediatrics PhysicianMD2019-0712NM
2208000000XPediatrics PhysicianV5573TX
3208000000XPediatrics Physician24221NV

General Provider Information

NPI Number : 1881058816
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEVEN MARIE MCMORROW-REID MD
Provider Business Mailing Address
First Line : 10105 BANBURRY CROSS DR STE 170
Second Line :
City : LAS VEGAS
State : NV
Zip : 89144-6647
Country : US
Telephone Number : 702-765-5437
Fax Number :
Provider Business Practice Location Address
First Line : 10105 BANBURRY CROSS DR STE 170
Second Line :
City : LAS VEGAS
State : NV
Zip : 89144-6647
Country : US
Telephone Number : 702-765-5437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2016
Last Update Date : 10/30/2025

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