Individual
MR. LOUIS ANTHONY DELLEFAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
120 W 11TH ST, TAYLOR, TX 76574-2937
(512) 973-9222
Mailing address
120 W 11TH ST, TAYLOR, TX 76574-2937
(512) 973-9222
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
504849
TX
Other
Enumeration date
10/11/2006
Last updated
01/08/2014
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