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Jonathan Deitch is one of 22 vascular surgeons practicing in Fort Worth, Texas .
Jonathan Deitch practices with Texas Health Physicians Group.
Registry record (NPPES)
NPI
1679551469
Type
Type 1 · Individual
Primary taxonomy
Surgery, Vascular Surgery · 2086S0129X
Address on file
1325 Pennsylvania Ave Ste 680 Fort Worth, TX 76104-2133 (817) 250-4235
Enumerated
Jan 3, 2006
Record last updated
Oct 20, 2021
License states listed
NY, TX
Medicare (CMS)
Enrollment
Medicare-enrolled in NY, TXVascular Surgery
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
1325 Pennsylvania Ave Suite 680
Fort Worth , TX 76104
(817) 250-4235
More vascular surgeons in Fort Worth
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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