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CALLIE LEIGH DELOACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1604 NOBLE WAY CT, LEAGUE CITY, TX 77573-7370
(832) 798-5965
Mailing address
1604 NOBLE WAY CT, LEAGUE CITY, TX 77573-7370

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
896326
TX
363LF0000X
Family Nurse Practitioner
Primary
1014433
TX

Other

Enumeration date
09/23/2019
Last updated
06/06/2024
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