Jeffrey D Decaprio MD PA

NPI #1235283425 in Texarkana, Texas

Provider Information

NPI Number: 1235283425
Entity Type: Organization
Organization Name: Jeffrey D Decaprio MD PA
Primary Specialty: Surgery - Vascular Surgery
Enumeration Date: Jan 23, 2007
Last Updated: Mar 20, 2008

Practice Location

Address: 2717 SUMMERHILL RD
City: Texarkana
State: Texas
ZIP Code: 75503-3957
Phone: (903) 794-0022

Authorized Official

Name: DR. JEFFREY D DECAPRIO MD, MD
Title: OWNER
Phone: (903) 255-0002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X	Primary

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