Provider Demographics
NPI:1992599492
Name:FITE, DEVON
Entity type:Individual
Prefix:
First Name:DEVON
Middle Name:
Last Name:FITE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 N SKYVIEW ST APT A204
Mailing Address - Street 2:
Mailing Address - City:HOBBS
Mailing Address - State:NM
Mailing Address - Zip Code:88240-9496
Mailing Address - Country:US
Mailing Address - Phone:512-595-4951
Mailing Address - Fax:
Practice Address - Street 1:3600 N SKYVIEW ST OFC
Practice Address - Street 2:
Practice Address - City:HOBBS
Practice Address - State:NM
Practice Address - Zip Code:88240-9495
Practice Address - Country:US
Practice Address - Phone:512-595-4951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-08
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMG-1609172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker