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Bailey Deatherage
NPI 1043942444 · on the registry since 2022 · sole proprietor
Practice
- Address
- 8224 County Road 604
Alvarado, TX 76009 - Phone
- (682) 472-2569
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 2255A2300X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-06-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas