Individual
JEFFREY G. DELOACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
16020 PARK VALLEY DR, ROUND ROCK, TX 78681
(512) 244-0766
(512) 244-1013
Mailing address
16020 PARK VALLEY DR, ROUND ROCK, TX 78681-3573
(512) 244-0766
(512) 498-1307
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
L1831
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
L1831
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145963801
—
TX
Enumeration date
08/18/2006
Last updated
08/27/2018
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