Organization Name: | GEORGE L. DELOACH, D.O., PA |
NPI Number: | 1992999544 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEORGE L DELOACH (OWNER/PHYSICIAN) |
Mailing Address: | 400 Bypass Ln Ste 112 Livingston |
State: | TX US |
Postal Code: | 773517380 |
Phone Number: | 9363279222 |
Fax Number: | |
NPI Enumeration Date: | 08/28/2007 |
NPI Last Update Date: | 06/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 4934240001 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |