Decaprio, Jeffrey David

Decaprio, Jeffrey David is an individual health care provider with primary practice located at 5002 Cowhorn Creek Rd , Texarkana TX 75503-9766. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Decaprio, Jeffrey David can be contacted via phone (903) 614-3000.

Contact Information

Primary practice address
5002 Cowhorn Creek Rd Texarkana TX 75503-9766
Phone: (903) 614-3000
Fax: (903) 614-3525
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X K0284 Texas

Profile Details

NPI number 1447255229
LBN Legal business name Decaprio, Jeffrey David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Sep 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1447255229 NPPES
Texas Other 03080021800 QUALCHOICE QCA OF AR
Texas MEDICAID 157600102 QUALCHOICE QCA OF AR
Texas Other 0035MH QUALCHOICE QCA OF AR
Texas MEDICAID 157600103 QUALCHOICE QCA OF AR
Texas MEDICAID 149598001 QUALCHOICE QCA OF AR
Texas Other 82411 QUALCHOICE QCA OF AR

Popular Providers