Individual provider · Type 1 NPI
Brett Deatherage, MD
Diagnostic Radiology Physician · Kyle, TX
NPI number
1669821070
Active
Practice location
5103 Kyle Center Dr Ste 108
Kyle, TX 78640-6164
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | T50988 (TX) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
About NPI 1669821070
Brett Deatherage, MD's National Provider Identifier is 1669821070, issued on Jun 7, 2016. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Kyle, TX. The record was last updated on Jun 29, 2022.