Individual provider · Type 1 NPI

Devra Rose, BSN, RN

Primary Care Clinic/Center · Ennis, TX

NPI number 1003749813 Active

Practice location

206 S Clay St
Ennis, TX 75119-4527

Mailing address

860 FM 2377
Red Oak, TX 75154-6805

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300X1038518 (TX)

Primary Care Clinic/Center: Definition to come...

Another provider at this address

About NPI 1003749813

Devra Rose, BSN, RN's National Provider Identifier is 1003749813, issued on Jun 3, 2026. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Ennis, TX. The record was last updated on Jun 3, 2026.