| Deanne Degreaffenreidte M.d., P.a. | |
|
17200 St Lukes Way The Woodlands TX 77384-8007 | |
| (214) 329-9057 | |
| Not Available |
| Full Name | Deanne Degreaffenreidte M.d., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 17200 St Lukes Way, The Woodlands, Texas |
| Authorized Official Name and Position | Deanne Degreaffenreidte (PHYSICIAN) |
| Authorized Official Contact | 2143299057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deanne Degreaffenreidte M.d., P.a. 7 Switchbud Pl Suite 192-176 The Woodlands TX 77380-3700 Ph: (214) 329-9057 | Deanne Degreaffenreidte M.d., P.a. 17200 St Lukes Way The Woodlands TX 77384-8007 Ph: (214) 329-9057 |
| NPI Number | 1841539293 |
|---|---|
| Provider Enumeration Date | 02/05/2013 |
| Last Update Date | 02/05/2013 |
| Medicare PECOS PAC ID | 9739315227 |
|---|---|
| Medicare Enrollment ID | O20131111000547 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841539293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | N4374 (Texas) | Primary |
| Provider Name | Deanne Degreaffenreidte |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124350830 PECOS PAC ID: 0042348062 Enrollment ID: I20100512001091 |
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