MEDICARE: DR. GENE ARTHUR DEVORA MD/PHD

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	207K00000X	Allergy & Immunology Physician	M6587	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	BP1-0022638	OTHER		INSTITUTIONAL PERMIT

General Provider Information

NPI Number	:	1952510752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GENE ARTHUR DEVORA MD/PHD

Provider Business Mailing Address
First Line	:	6300 W PARKER RD STE G22
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-8105
Country	:	US
Telephone Number	:	972-981-3692
Fax Number	:	972-981-3605

Provider Business Practice Location Address
First Line	:	6300 W PARKER RD STE G22
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-8105
Country	:	US
Telephone Number	:	972-981-3692
Fax Number	:	972-981-3605

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

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	06/20/2016

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