Jacque Louis Delahoussaye, RPA

Primary specialty

Radiology Practitioner AssistantTaxonomy code 243U00000X

License

19329 Issued in TX

Practice address

1201 W Frank Ave
Lufkin, TX 75904-3357

Phone

(936) 639-7962

NPI assigned

Oct 15, 2008

Last updated

Oct 15, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224028800000",
    "number": "1235381898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 WILDWOOD DR",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773514501",
            "telephone_number": "936-639-7962",
            "fax_number": "936-631-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W FRANK AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043357",
            "telephone_number": "936-639-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAHOUSSAYE",
        "first_name": "JACQUE",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "RPA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "243U00000X",
            "taxonomy_group": "",
            "desc": "Radiology Practitioner Assistant",
            "state": "TX",
            "license": "19329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dedicated Medical Home Health PLLC
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• Deep East Texas Council of Governments
• Opeoluwa Yetunde Dehinbo, M.D.
• Dirk Andrew Dekerlegand, P.A.C.
• Dental Center of Lufkin
• Dept of Assistive & Rehab Serv - Lufkin Field Office
• Pratibha Amol Deshpande, M.D.
• Kelly Dickinson
• Megan Kay Dickinson, MSN, NP-C

• Radiology Practitioner Assistant in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Radiology Practitioner Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.