| Robert Deluca, D.o,, P.a. | |
|
500 W Plummer St Eastland TX 76448-2629 | |
| (254) 629-3393 | |
| (254) 629-3392 |
| Full Name | Robert Deluca, D.o,, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 500 W Plummer St, Eastland, Texas |
| Authorized Official Name and Position | Shellye Truran (OFFICE MANAGER) |
| Authorized Official Contact | 2546293393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Deluca, D.o,, P.a. 500 W Plummer St Eastland TX 76448-2629 Ph: (254) 629-3393 | Robert Deluca, D.o,, P.a. 500 W Plummer St Eastland TX 76448-2629 Ph: (254) 629-3393 |
| NPI Number | 1053570952 |
|---|---|
| Provider Enumeration Date | 06/05/2008 |
| Last Update Date | 05/15/2015 |
| Medicare PECOS PAC ID | 9739170382 |
|---|---|
| Medicare Enrollment ID | O20040521000409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053570952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert Deluca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295729739 PECOS PAC ID: 1355332909 Enrollment ID: I20040521000468 |
| Provider Name | Jacquelyn Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336204833 PECOS PAC ID: 8729079397 Enrollment ID: I20040521000569 |
| Provider Name | Valerie K Deluca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609160472 PECOS PAC ID: 4486883709 Enrollment ID: I20140730002563 |
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