Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY GASTON DETWEILER, M.D.
ActiveJEFFREY GASTON DETWEILER, M.D. is a Dermatopathology (Pathology) healthcare provider located in FORT WORTH, Texas. NPI 1215955950 is currently active in the NPPES registry. Verify at CMS.
Dermatopathology (Pathology) · FORT WORTH, TX
Registration Details
- NPI Number
- 1215955950
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2006 (20.096405584703 yrs)
- Last Updated
- Mar 23, 2015
- Licenses
-
H5867 (TX)H5867 (TX)
Practice Information
- Address
-
6100 HARRIS PARKWAYFORT WORTH, TX, 761324126Browse TX providers · Browse ZIP 76132
- Phone
- 2146382000
- Fax
- 2142371864
- Primary Specialty
-
Dermatopathology (Pathology)
207ZD0900X
- Additional Specialty
- Anatomic Pathology & Clinical Pathology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.