Organization Active NPI

Gene a Devora MD PHD PA

  • Allergy & Immunology Physician
  • Plano, TX
National Provider Identifier
1144548025
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
M6587 Issued in TX
Legal business name
GENE A DEVORA MD PHD PA
Practice address
6300 W Parker Rd Ste 220
Plano, TX 75093-8168
Phone
(972) 981-8215
Fax
(972) 981-3605
NPI assigned
May 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gene Arthur Devora, MD/PHDNPI 1952510752
Title
Physician
Phone
(214) 207-0846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X M6587 TX Primary

Addresses

Primary practice location

6300 W Parker Rd Ste 220
Plano, TX 75093-8168

Mailing address

6300 W Parker Rd Ste G22
Plano, TX 75093-8105
Phone (972) 981-3692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110628000655 TX Part B Supplier - Clinic/Group Practice 1850579541 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2054718Gene a Devora, MD6300 W Parker Rd, Suite G-22, Plano, TX 75093Certificate of waiverFeb 26, 2027

National Provider Directory

National Provider Directory

Locations

6300 W Parker Rd
Ste 220
Plano, TX 75093
Phone (972) 981-8215

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1144548025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 W PARKER RD STE G22",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938105",
            "telephone_number": "972-981-3692",
            "fax_number": "972-981-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 W PARKER RD STE 220",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938168",
            "telephone_number": "972-981-8215",
            "fax_number": "972-981-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENE A DEVORA MD PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-17",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "DEVORA",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "214-207-0846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD/PHD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "M6587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.