Active NPI
Elizabeth Buza Devlin, P.A.
- Medical Physician Assistant
- Katy, TX
National Provider Identifier
1417201948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA07771
- Practice address
- 21312 Provincial Blvd.
Katy, TX 77450 - Phone
- (281) 599-8345
- Fax
- (281) 599-3030
- NPI assigned
- Nov 6, 2012
- Last updated
- Nov 6, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA07771 | TX | Primary |
Addresses
Primary practice location
21312 Provincial Blvd.
Katy, TX 77450
Mailing address
P.O. Box 57
Barker, TX 77413
Phone (281) 599-8345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA07771 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rheumatology Specialists of Texas, PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rheumatology Physician
- Houston, TX
- NPI 1316139496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352160000000",
"number": "1417201948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 57",
"city": "BARKER",
"state": "TX",
"postal_code": "77413",
"telephone_number": "281-599-8345",
"fax_number": "281-599-3030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21312 PROVINCIAL BLVD.",
"city": "KATY",
"state": "TX",
"postal_code": "77450",
"telephone_number": "281-599-8345",
"fax_number": "281-599-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVLIN",
"first_name": "ELIZABETH",
"middle_name": "BUZA",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-06",
"last_updated": "2012-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA07771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
- Destiny Helper Services LLC
- Katie Devany, MSN, APRN, FNP-C
- Device Supply Management LLC
- Charmaine Devine
- Carrie Devlin, LPC-A
- Devoted Guardians Home Health
- Devotional Serenity Pas Inc
- Dewitt Medical District (Oakmont Healthcare and Rehabilitation Center of Katy)
- Dexterity Healthcare Staffing Inc
- Dfi Health, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.