NPI 1669821070

Brett Deatherage, MD

Practitioner Diagnostic Radiology Physician Kyle, TX

Practice location

Address: 5103 Kyle Center Dr STE 108, Kyle, TX 78640-6164
Phone: (877) 324-3310

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence T50988 (TX)

Other Radiology providers in Texas →

Registry record

NPI: 1669821070
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jun 2016
Record last updated: 29 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.