Delacotera Health Care Association in Shenandoah - Specialist

Delacotera Health Care Association - NPI 1013984558

Delacotera Health Care Association is a Specialist in Shenandoah, Texas. Delacotera Health Care Association practices all healthcare services and medical treatments related to Specialist. The NPI Number for Delacotera Health Care Association is 1013984558. The last update date is 2023-09-15.

Delacotera Health Care Association's current location address is 129 Vision Park Blvd Ste 200, Shenandoah, Texas. You can contact this provider via phone number 2812488872 and fax number 2812488875. The mailing address for Delacotera Health Care Association is 129 Vision Park Blvd Ste 200, Shenandoah, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Delacotera Health Care Association
Address 129 Vision Park Blvd Ste 200, Shenandoah, Texas
Phone Number 2812488872
Fax Number 2812488875
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DOCTOR
Authorized Official Name De La Cotera Jule Rodrigo
Credentials MD
Telephone Number 2812488872

NPI Number Detail

NPI Number 1013984558
Provider Enumeration Date 2006-03-03
Last Updated Date 2023-09-15

Provider Mailing Address Detail

Address 129 Vision Park Blvd Ste 200
City Shenandoah
State Texas (TX)
Post Code 773843024
Phone Number 2812488872
Fax Number 2812488875

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No M1621
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
178522201 TX --

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FAQs about Delacotera Health Care Association

What is the unique identifier code issued to Delacotera Health Care Association by the Centers for Medicare & Medicaid Services?

The Delacotera Health Care Association has been assigned the NPI (National Provider Identifier) 1013984558. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Delacotera Health Care Association's physical address?

The Delacotera Health Care Association is physically located at 129 Vision Park Blvd Ste 200, in the city of Shenandoah, TX, with the postal code 773843024.

What is Delacotera Health Care Association's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Delacotera Health Care Association's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1013984558 to Delacotera Health Care Association?

The Centers for Medicare & Medicaid Services originally issued the 1013984558 to Delacotera Health Care Association on 2006-03-03.

As of what date were the details related to Delacotera Health Care Association most recently updated or revised?

The information pertaining to Delacotera Health Care Association, including its address, specialty, and other relevant details, was last updated or revised on 2023-09-15.

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