Individual
DR. JOE WESLEY DELOACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
505 J DAVIS ARMISTEAD BLDG, HOUSTON, TX 77204-2020
(713) 743-1921
(713) 743-0963
Mailing address
2525 LUCAS DR, DALLAS, TX 75219-1804
(214) 528-7354
(214) 528-7387
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2828TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112409105
—
TX
05
—
127237908
—
TX
Enumeration date
04/14/2006
Last updated
05/15/2014
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