Individual
GEORGE L DELOACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
403 OGLETREE DR STE 100, LIVINGSTON, TX 77351-9444
(936) 755-3238
(936) 755-3249
Mailing address
PO BOX 337, LIVINGSTON, TX 77351-0006
(936) 327-9222
(936) 327-9220
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
H9881
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035937402
—
TX
01
—
200035071
MEDICARE RR/PALMETTO GBA
—
01
—
8AJ864
BLUE CROSS BLUE SHEILD
TX
Enumeration date
01/04/2006
Last updated
03/01/2024
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