Healthcare Provider Details

I. General information

NPI: 1700195658
Provider Name (Legal Business Name): OVIDIU DULGHERU MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2010
Last Update Date: 05/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2821 MICHAEL ANGELO SUITE 402
EDINBURG TX
78539-1404
US

IV. Provider business mailing address

2821 MICHAEL ANGELO SUITE 402
EDINBURG TX
78539-1404
US

V. Phone/Fax

Practice location:
  • Phone: 956-686-3220
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: OVIDIU DULGHERU
Title or Position: OWNER
Credential: MD
Phone: 956-686-3220