Individual
DEITRICH GERLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1441 N. BECKLEY AVENUE (METHODIST DALLAS MED CTR GME), 5TH FLOOR, EAST BLDG., DALLAS, TX 75203
(214) 947-8181
Mailing address
1441 N. BECKLEY AVENUE (METHODIST DALLAS MED CTR GME), 5TH FLOOR, EAST BLDG., DALLAS, TX 75203
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
BP10089114
TX
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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