Individual
GEORGE L DELOACH
Active
Individual
GEORGE L DELOACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
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
Update your record
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