Provider Demographics
NPI:1801823562
Name:DEVER, KAMI MESHAE (PA)
Entity Type:Individual
Prefix:
First Name:KAMI
Middle Name:MESHAE
Last Name:DEVER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5012 S US HWY 75, SUITE 300
Mailing Address - Street 2:ATTN BILLING
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020-4589
Mailing Address - Country:US
Mailing Address - Phone:903-416-6325
Mailing Address - Fax:
Practice Address - Street 1:5012 S US HIGHWAY 75 STE 100
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-4597
Practice Address - Country:US
Practice Address - Phone:903-416-6325
Practice Address - Fax:903-416-6326
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2023-03-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA04771363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant