Individual
DR. BRETT DEATHERAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5103 KYLE CENTER DR STE 108, KYLE, TX 78640-6164
(877) 324-3310
Mailing address
5103 KYLE CENTER DR STE 108, KYLE, TX 78640-6164
(877) 324-3310
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
T50988
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10057590
PHYSICIANS-IN-TRAINING PERMIT
TX
Enumeration date
06/07/2016
Last updated
06/29/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us