Devault, Richard L.

Devault, Richard L. is an individual health care provider with primary practice located at 2401 S 31St St , Temple TX 76508-0001. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Devault, Richard L. can be contacted via phone (254) 724-2111.

Contact Information

Primary practice address
2401 S 31St St Temple TX 76508-0001
Phone: (254) 724-2111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP111778 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 582140 Texas

Profile Details

NPI number 1336101328
LBN Legal business name Devault, Richard L.
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Jan 11th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336101328 NPPES
Texas Other 8N9010 BLUE SHIELD
Texas MEDICAID 1596884-03 BLUE SHIELD
Texas Other P00269393 BLUE SHIELD

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