Delue, Sean D

Delue, Sean D is an individual health care provider with primary practice located at 7700 Fish Pond Rd , Waco TX 76710-1031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Delue, Sean D can be contacted via phone (254) 761-4444.

Contact Information

Primary practice address
7700 Fish Pond Rd Waco TX 76710-1031
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L7709 Texas

Profile Details

NPI number 1477525004
LBN Legal business name Delue, Sean D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Sep 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477525004 NPPES
Texas Other N0131532 DPS
Texas MEDICAID 170095701 DPS

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