Organization · Type 2 NPI
Jack L Deetjen MD
Durable Medical Equipment & Medical Supplies · Seguin, TX
NPI number
1790953289
Active
Practice location
515 N King, Suite 106
Seguin, TX 78155-4815
Fax (830) 379-8378
Mailing address
515 N King St, Suite 106
Seguin, TX 78155-4801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | G4967 (TX) |
Durable Medical Equipment & Medical Supplies: 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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About NPI 1790953289
Jack L Deetjen MD's National Provider Identifier is 1790953289, issued on Feb 19, 2008. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Seguin, TX. The record was last updated on Feb 15, 2024.