MEDICARE: SUSAN C DELZELL NP

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	207Q00000X	Family Medicine Physician	AP117260	TX

General Provider Information

NPI Number	:	1528391125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN C DELZELL NP

Provider Business Mailing Address
First Line	:	5017 HIGHRIDGE DR
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75043-4930
Country	:	US
Telephone Number	:	972-345-1613
Fax Number	:	972-345-1613

Provider Business Practice Location Address
First Line	:	5017 HIGHRIDGE DR
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75043-4930
Country	:	US
Telephone Number	:	972-345-1613
Fax Number	:	972-345-1613

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2009
Last Update Date	:	04/12/2026

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