NPI | 1255791125 |
---|---|
Other Name | RICHARD DEULOFEUT MBR |
Entity Type | Organization |
Authorized Contact | RICHARD DEULOFEUT Provider/Owner 325-670-7671 |
Organization Subpart ? | No |
Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: TX M3518) |
Enumeration Date | 2016-03-04 |
Last Update Date | 2016-03-04 |