Individual
JEFFREY D DELLAVOLPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, MCHE-QD, FORT SAM HOUSTON, TX 78234-4504
(210) 916-9411
Mailing address
3551 ROGER BROOKE DR, MCHE-QD (CREDS), FORT SAM HOUSTON, TX 78234-4504
(210) 916-9411
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD203058
LA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD203058
LA
208M00000X
Hospitalist Physician
MD203058
LA
Other
Enumeration date
05/12/2008
Last updated
07/13/2015
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