Lawrence Devolld, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

Q5172 Issued in TX

Practice address

2503 S Gregg St
Unit C
Big Spring, TX 79720-6553

Phone

(325) 658-1511

Fax

(325) 481-2266

NPI assigned

Jun 27, 2012

Last updated

Jul 22, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1609130301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22000",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769027200",
            "telephone_number": "325-658-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 S GREGG ST",
            "address_2": "UNIT C",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797206553",
            "telephone_number": "325-658-1511",
            "fax_number": "325-481-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVOLLD",
        "first_name": "LAWRENCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "RS2012-0516",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q5172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Earl Dawson, PH.D.
• Inez Marie Delgado
• Denise Delprincipe, RD, LD
• Sammy Wayne Dennard, P.T.
• Robert F. Desantis II, D.C.
• Charles Patrick Diaz, LMSW
• Angela Digby, RN
• Carlos A Dimidjian, DPM
• Quyen Dinh, PHARMD
• Jenna DO

• Family Medicine Physician in Big Spring, TX
• Providers in Big Spring, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.