Provider Demographics
NPI:1619681061
Name:DHEVAN SURGICAL SPECIALISTS, PLLC
Entity Type:Organization
Organization Name:DHEVAN SURGICAL SPECIALISTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MD
Authorized Official - Prefix:DR
Authorized Official - First Name:VIJIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DHEVAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-620-9375
Mailing Address - Street 1:1649 TREASURE HILLS BLVD STE B-11
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8910
Mailing Address - Country:US
Mailing Address - Phone:806-620-9375
Mailing Address - Fax:830-632-6568
Practice Address - Street 1:1649 TREASURE HILLS BLVD STE B-11
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8910
Practice Address - Country:US
Practice Address - Phone:806-620-9375
Practice Address - Fax:830-632-6568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-10
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty