Individual
MR. JACQUE LOUIS DELAHOUSSAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPA
Contact information
Practice address
1201 W FRANK AVE, LUFKIN, TX 75904-3357
(936) 639-7962
Mailing address
126 WILDWOOD DR, LIVINGSTON, TX 77351-4501
(936) 639-7962
(936) 631-3446
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
19329
TX
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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