Organization
JACK L DEETJEN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMA ENGELMANN (OFFICE MANAGER)
(830) 379-8371
Entity
Organization
Contact information
Practice address
515 N KING ST STE 106, SEGUIN, TX 78155-4815
(830) 379-8371
Mailing address
515 N KING ST STE 106, SEGUIN, TX 78155-4815
(830) 379-8371
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G4967
TX
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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