Provider Demographics
NPI:1881058816
Name:MCMORROW-REID, DEVEN MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:DEVEN
Middle Name:MARIE
Last Name:MCMORROW-REID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DEVEN
Other - Middle Name:MARIE
Other - Last Name:MCMORROW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10105 BANBURRY CROSS DR STE 170
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89144-6647
Mailing Address - Country:US
Mailing Address - Phone:702-765-5437
Mailing Address - Fax:
Practice Address - Street 1:10105 BANBURRY CROSS DR STE 170
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89144-6647
Practice Address - Country:US
Practice Address - Phone:702-765-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-06
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV24221208000000X
NMMD2019-0712208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics