DEVONDA CHANTAL WYNN


Address: 16800 Imperial Valley Dr Ste 280, Houston, TX 77060-3161
Phone: 8329107304

DEVONDA CHANTAL WYNN (NPI# 1902444730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902444730
Entity Type Individual
Full Name DEVONDA CHANTAL WYNN
Practice Address 16800 Imperial Valley Dr Ste 280
Houston
TX 77060-3161
Practice Telephone 8329107304
Practice Fax Number 8325651193
Mailing Telephone 8329107304
Mailing Fax Number 8325651193
Enumeration Date 2019-12-11
Last Update Date 2019-12-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246RP1900X Technician, Pathology
Specialization: Phlebotomy
CPT19-7289 TX Technologists, Technicians & Other Technical Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX COMERCIAL INSURANCE 00000 01

Office Location

Street Address 16800 IMPERIAL VALLEY DR STE 280
City HOUSTON
State TX
Zip Code 77060-3161

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Taxonomy Information

Taxonomy Code 246RP1900X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Technician, Pathology
Specialization Phlebotomy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841898939 Hunters Mobile Lab Technician, Pathology 4118 Mineral Haven Dr, Houston, TX 77048-5554 2020-10-12
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1497396881 Laboratory Concepts Technician, Pathology 2025 Gentryside Dr, Houston, TX 77077 2019-10-07
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1225500150 Mylabs, LLC Technician, Pathology 5100 Westheimer, Suite 200, Houston, TX 77056 2018-12-17
1639647381 Netta Trahan Technician, Pathology 8200 Wednesbury Ln Ste 317, Houston, TX 77074-2925 2018-11-09
1336623388 Phlebotomy Firm Technician, Pathology 7400 Harwin Dr Ste 330, Houston, TX 77036-2094 2018-09-16
1942793641 Janenne Dorsey Technician, Pathology 21022 Kirkland Woods Dr, Houston, TX 77095-2861 2018-06-07
1952809212 Sidoni Anneh Findong Technician, Pathology 9639 Fastgreen Cir, Houston, TX 77089-7015 2018-01-31
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Competitor

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City HOUSTON
Zip Code 77060

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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