Provider Demographics
NPI:1467656306
Name:DEVERA, VOLTAIRE ALEJO (CFA)
Entity Type:Individual
Prefix:
First Name:VOLTAIRE
Middle Name:ALEJO
Last Name:DEVERA
Suffix:
Gender:M
Credentials:CFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1903 77TH PL
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-2452
Mailing Address - Country:US
Mailing Address - Phone:806-748-8901
Mailing Address - Fax:
Practice Address - Street 1:1903 77TH PL
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-2452
Practice Address - Country:US
Practice Address - Phone:806-748-8901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX94172246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other