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Individual
MS. DEITRA FALGOUT LEBOUEF
Active
Individual
MS. DEITRA FALGOUT LEBOUEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
664217
TX
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
AP120783
TX
363LF0000X
Family Nurse Practitioner
Primary
AP120783
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508153438
NPI
TX
01
—
AP120483
TEXAS BON
TX
Enumeration date
06/29/2011
Last updated
11/09/2024
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