Provider Demographics
NPI:1194512707
Name:DEVROE, BERNARD (DHA)
Entity type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:
Last Name:DEVROE
Suffix:
Gender:
Credentials:DHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13953 BINNACLE ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78418-6105
Mailing Address - Country:US
Mailing Address - Phone:806-437-9222
Mailing Address - Fax:
Practice Address - Street 1:13953 BINNACLE ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78418-6105
Practice Address - Country:US
Practice Address - Phone:806-437-9222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator