# DR. JEFFREY DAVID DECAPRIO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1447255229
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | K0284 | TX | Yes |

## Other

- **Enumeration date:** 06/17/2005
- **Last updated:** 09/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0035MH | BLUE CROSS/BLUE SHIELD | TX |
| 01 | — | 03080021800 | QUALCHOICE QCA OF AR | TX |
| 05 | — | 149598001 | — | AR |
| 05 | — | 157600102 | — | TX |
| 05 | — | 157600103 | — | TX |
| 01 | — | 82411 | GROUP 8-P149 | AR |