Individual
MICHAEL J DEITCHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
731 MARTIN RD, HURST, TX 76054-2703
(817) 514-0346
(817) 514-0885
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K3709
TX
Other
Enumeration date
10/18/2006
Last updated
05/11/2021
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