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Jack L Deetjen Md
Durable Medical Equipment & Medical Supplies in Seguin, Texas
NPI 1790953289

Jack L Deetjen Md is a Durable Medical Equipment & Medical Supplies based in Seguin, TX. Jack L Deetjen Md practices in Seguin, TX. The NPI Number for Jack L Deetjen Md is 1790953289 and holds a License No. G4967 (Texas).

The current practice location address for Jack L Deetjen Md is 515 N King, Seguin, TX and can be reached out via phone at 830-379-8371 and via fax at 830-379-8378.

Location: 515 N King, Seguin, TX, 78155-4801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790953289
Provider Name
Jack L Deetjen Md
Credential
Provider Entity Type
Organization
Address
515 N King, Seguin, TX, 78155-4801
Phone Number
830-379-8371
Fax Number
830-379-8378
Provider Enumeration Date
02/19/2008
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
033725501 05 TX
1699723320 01 N P I
institution
Provider Business Practice Location Address Details
Address
515 N King
City
Seguin
State
Texas
Zip
78155-4815
Phone Number
830-379-8371
Fax Number
830-379-8378
person
Provider Business Mailing Address Details
Address
515 N King
City
Seguin
State
Texas
Zip
78155-4815
Phone Number
830-379-8371
Fax Number
830-379-8378
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
G4967 (Texas)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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