Jeffrey G. Deloach
Physical Medicine & Rehabilitation Doctor Pain Medicine
16020 Park Valley Dr
Round Rock
, Texas 78681
Jeffrey G. Deloach
Physical Medicine & Rehabilitation Doctor Pain Medicine
16020 Park Valley Dr
Round Rock
, Texas 78681
(512) 498-1307
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
- Pain Medicine
Languages spoken
- English
Location
First Address
- Jeffrey G. Deloach
- 16020 Park Valley Dr
- Round Rock, TX
- Zip : 78681-3573
- Fax : (512) 498-1307
- Phone : (512) 244-0766
Second Address
- Jeffrey G. Deloach
- 16020 Park Valley Dr
- Round Rock, TX
- Zip : 78681
- Fax : (512) 244-1013
- Phone : (512) 244-0766
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | L1831 | TX |
| N | 2081P2900X | Pain Medicine | L1831 | TX |
National Provider Identifier
| NPI | 1295849966 |
|---|---|
| Provider Name | Jeffrey G. Deloach |
| First Address | Round Rock, TX 78681-3573 |
| Second Address | Round Rock, TX 78681 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/08/2006 |
| Last Update Date | 27/08/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 145963801 | (05) | TX |
| H15920 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.