Deitleman Health And Wellness | |
1514 S Iowa St Pecos TX 79772-5604 | |
(432) 755-8106 | |
Not Available |
Full Name | Deitleman Health And Wellness |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 1514 S Iowa St, Pecos, Texas |
Authorized Official Name and Position | Deitrick L Gorman (CEO/OWNER) |
Authorized Official Contact | 4327558106 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Deitleman Health And Wellness 1514 S Iowa St Pecos TX 79772-5604 Ph: (432) 755-8106 | Deitleman Health And Wellness 1514 S Iowa St Pecos TX 79772-5604 Ph: (432) 755-8106 |
NPI Number | 1295424638 |
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Provider Enumeration Date | 05/02/2023 |
Last Update Date | 05/02/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295424638 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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