Organization
DEITLEMAN HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEITRICK L GORMAN DO (CEO/OWNER)
(432) 755-8106
Entity
Organization
Contact information
Practice address
1514 S IOWA ST, PECOS, TX 79772-5604
(432) 755-8106
Mailing address
1514 S IOWA ST, PECOS, TX 79772-5604
(432) 755-8106
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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