Carlos J De Jesus, RN
Individual provider Active NPI Registered Nurse · Devine, TX
NPI 1245778588 · NPPES record last updated Feb 7, 2017
Key facts
- NPI
- 1245778588
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 799225 (TX)
- Practice address
- 225 Harralton Cir
Devine, TX 78016-2301 - Phone
- (210) 238-1919
- NPI assigned
- Feb 7, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 799225 | TX | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 799225 | TX | Yes |
Addresses
Primary practice location
225 Harralton Cir
Devine, TX 78016-2301
Mailing address
225 Harralton Cir
Devine, TX 78016-2301
Phone (210) 238-1919
Other providers in Devine, TX
- City of Devine Ambulance Service
- Conoly Drug Inc of Devine Inc
- Cruz Personal Care Home
- Cruz Personal Care Home, LLC
- Brittny Cummings
- Dental Health Associates of Texas, PC.
- Devine Chiropractic PLLC
- Devine Convalescent Care Center Inc
- Devine Counseling and Wellness Associates LLC
- Devine Dental & Orthodontics PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.