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NPI Code Detail

MEDICARE: DR. ABDIER DELGADO GONZALEZ MD

MEDICARE: DR. ABDIER DELGADO GONZALEZ MD
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
1207R00000XInternal Medicine PhysicianQ3173TX
2208M00000XHospitalist PhysicianQ3173TX

General Provider Information

NPI Number : 1619384427
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ABDIER DELGADO GONZALEZ MD
Provider Business Mailing Address
First Line : 180 STATE ST STE 225
Second Line :
City : SOUTHLAKE
State : TX
Zip : 76092-7632
Country : US
Telephone Number : 817-497-8328
Fax Number :
Provider Business Practice Location Address
First Line : 180 STATE ST STE 225
Second Line :
City : SOUTHLAKE
State : TX
Zip : 76092-7632
Country : US
Telephone Number : 817-497-8328
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2014
Last Update Date : 07/11/2024

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Directions to “ DR. ABDIER DELGADO GONZALEZ MD” Practice Location

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