Active NPI
Preston Warren Deshan, M.D.
- Emergency Medicine Physician
- Levelland, TX
National Provider Identifier
1376638759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- D2211
- Practice address
- 1900 College Avenue
Levelland, TX 79336 - Phone
- (806) 894-4963
- Fax
- (806) 894-6461
- NPI assigned
- Oct 3, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | D2211 | TX | Primary |
Addresses
Primary practice location
1900 College Avenue
Levelland, TX 79336
Mailing address
4915 19TH Street
Lubbock, TX 79407
Phone (806) 791-5177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D2211 | TX | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376638759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4915 19TH STREET",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79407",
"telephone_number": "806-791-5177",
"fax_number": "806-791-5177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 COLLEGE AVENUE",
"city": "LEVELLAND",
"state": "TX",
"postal_code": "79336",
"telephone_number": "806-894-4963",
"fax_number": "806-894-6461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESHAN",
"first_name": "PRESTON",
"middle_name": "WARREN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "D2211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Levelland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.