Deloach, Jeffrey G.
Deloach, Jeffrey G. is an individual health care provider with primary practice located at 16020 Park Valley Dr , Round Rock TX 78681. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Deloach, Jeffrey G. can be contacted via phone (512) 244-0766.Contact Information
Primary practice address
16020 Park Valley Dr
Round Rock TX 78681
Phone: (512) 244-0766
Fax: (512) 244-1013
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | L1831 | Texas |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | L1831 | Texas |
Profile Details
| NPI number | 1295849966 |
|---|---|
| LBN Legal business name | Deloach, Jeffrey G. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Aug 27th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295849966 | NPPES |
| Texas | MEDICAID | 145963801 |
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