MEDICARE: DELGADO CARDIOVASCULAR ASSOCIATES, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265411466
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DELGADO CARDIOVASCULAR ASSOCIATES, P.A.

Provider Business Mailing Address
First Line	:	6624 FANNIN ST STE 1910
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2330
Country	:	US
Telephone Number	:	713-383-9300
Fax Number	:	713-383-8306

Provider Business Practice Location Address
First Line	:	6624 FANNIN ST STE 1910
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2330
Country	:	US
Telephone Number	:	713-383-9300
Fax Number	:	713-383-8306

Authorized Official
Title or Position	:	OWNER
Name	:	REYNOLDS M DELGADO
Credential	:
Telephone Number	:	713-383-9300

Provider Enumeration Date	:	01/16/2006
Last Update Date	:	01/24/2019

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