Jonathan S. Deitch in Fort Worth - Vascular Surgery
Jonathan S. Deitch - NPI 1679551469
Jonathan S. Deitch is a Vascular Surgery in Fort Worth, Texas. Jonathan S. Deitch practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Jonathan S. Deitch is 1679551469. The last update date is 2021-10-20.
Jonathan S. Deitch's current location address is 1325 Pennsylvania Ave Ste 680, Fort Worth, Texas. You can contact this provider via phone number 8172504235. The mailing address for Jonathan S. Deitch is 1325 Pennsylvania Ave Ste 680, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan S. Deitch |
|---|---|
| Address | 1325 Pennsylvania Ave Ste 680, Fort Worth, Texas |
| Phone Number | 8172504235 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1679551469 |
|---|---|
| Provider Enumeration Date | 2006-01-03 |
| Last Updated Date | 2021-10-20 |
Provider Mailing Address Detail
| Address | 1325 Pennsylvania Ave Ste 680 |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761042133 |
| Phone Number | 8172504235 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 194966-1 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1921764 | NY | -- |
Post Comment/ Review Below
What is the Jonathan S. Deitch's unique identification number?
The Jonathan S. Deitch has been assigned the NPI (National Provider Identifier) Number 1679551469 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Jonathan S. Deitch's physical address?
The Jonathan S. Deitch is physically located at 1325 Pennsylvania Ave Ste 680, in the city of Fort Worth, TX, with the postal code 761042133.
What is Jonathan S. Deitch's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jonathan S. Deitch's area of specialization is Vascular Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0129X.
When was the Jonathan S. Deitch's 1679551469 issued?
The Jonathan S. Deitch's 1679551469 was issued on 2006-01-03.
As of what date was the information pertaining to Jonathan S. Deitch, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jonathan S. Deitch, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-10-20.
NPI Number: 1144225426
Address: 380 E Paseo El Mirador, Palm Springs, CA