Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | BP10033775 | TX |
Y | 207V00000X | Obstetrician & Gynecologist | P5960 | TX |
NPI | 1013144955 |
---|---|
Provider Name | Aleigha Ann Delukie |
First Address | Dallas, TX 75284-4658 |
Second Address | Temple, TX 76508-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2009 |
Last Update Date | 11/01/2021 |