Lawrence Devolld, MD | |
2503 S Gregg St, Unit C, Big Spring, TX 79720-6553 | |
(325) 658-1511 | |
(325) 481-2266 |
Full Name | Lawrence Devolld |
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Gender | Male |
Speciality | Family Medicine |
Location | 2503 S Gregg St, Big Spring, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609130301 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | RS2012-0516 (New Mexico) | Secondary |
207Q00000X | Family Medicine | Q5172 (Texas) | Primary |
Entity Name | Shannon Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
Mailing Address | Practice Location Address |
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Lawrence Devolld, MD Po Box 22000, San Angelo, TX 76902-7200 Ph: (325) 658-1511 | Lawrence Devolld, MD 2503 S Gregg St, Unit C, Big Spring, TX 79720-6553 Ph: (325) 658-1511 |
Cynthia Rutledge, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2301 S Gregg St, Big Spring, TX 79720 Phone: 432-267-5531 | |
Dr. Scott Wade Barclay, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 W 11th Pl, Suite 206, Big Spring, TX 79720 Phone: 432-264-6361 Fax: 432-268-4590 | |
Dr. Killeen Moreno, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 103 W 11th St, Big Spring, TX 79720 Phone: 432-517-4557 Fax: 432-400-1406 | |
Dr. David Dean Long, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 910 S Main St, Big Spring, TX 79720 Phone: 432-714-4650 Fax: 432-714-4653 | |
Dr. Heberto Cofresi, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 W Veterans Blvd, Big Spring, TX 79720 Phone: 432-263-7361 | |
Dr. Luz O Castanon, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 300 W Veterans Blvd, Big Spring, TX 79720 Phone: 580-695-5704 |