Provider Demographics
NPI:1619469343
Name:DEULOFEUT PHYSICIAN SERVICES PLLC
Entity Type:Organization
Organization Name:DEULOFEUT PHYSICIAN SERVICES PLLC
Other - Org Name:NEOBEGINNINGS PLLC
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:DEULOFEUT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:325-676-0557
Mailing Address - Street 1:PO BOX 5379
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79608-5379
Mailing Address - Country:US
Mailing Address - Phone:325-676-0557
Mailing Address - Fax:866-673-1339
Practice Address - Street 1:1924 PINE ST STE 401B
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-2452
Practice Address - Country:US
Practice Address - Phone:325-676-0557
Practice Address - Fax:866-673-1339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-30
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM35182080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal MedicineGroup - Single Specialty