Dr. JONATHAN S. DEITCH M.D.
Individual Provider (NPI-1)
Active
Provider Information
- NPI Number
1679551469- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 1325 PENNSYLVANIA AVE STE 680, FORT WORTH, TX, 761042133
- Phone
- (817) 250-4235
Specialties & Taxonomies
Unknown
License: NY #194966-1
Unknown
Primary License: TX #T3610