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Dr. Brett Deatherage, MD
Diagnostic Radiology Physician in Kyle, Texas
NPI 1669821070

Brett Deatherage is a Diagnostic Radiology Physician based in Kyle, TX and is specialized in Diagnostic Radiology. Brett Deatherage practices in Kyle, TX and has the professional credentials of MD. The NPI Number for Brett Deatherage is 1669821070 and holds a License No. T50988 (Texas).

The current practice location address for Brett Deatherage is 5103 Kyle Center Dr Ste 108, Kyle, TX and can be reached out via phone at 877-324-3310.

Location: 5103 Kyle Center Dr Ste 108, Kyle, TX, 78640-6164
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669821070
Provider Name
Brett Deatherage
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5103 Kyle Center Dr Ste 108, Kyle, TX, 78640-6164
Phone Number
877-324-3310
Fax Number
Provider Enumeration Date
06/07/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10057590 01 TX PHYSICIANS-IN-TRAINING PERMIT
institution
Provider Business Practice Location Address Details
Address
5103 Kyle Center Dr Ste 108
City
Kyle
State
Texas
Zip
78640-6164
Phone Number
877-324-3310
Fax Number
person
Provider Business Mailing Address Details
Address
5103 Kyle Center Dr Ste 108
City
Kyle
State
Texas
Zip
78640-6164
Phone Number
877-324-3310
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
T50988 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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