Healthcare Provider Details

I. General information

NPI: 1689695512
Provider Name (Legal Business Name): DELBE D MEELHUYSEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 09/20/2023
Certification Date: 09/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6451 BRENTWOOD STAIR RD STE 200
FORT WORTH TX
76112-3200
US

IV. Provider business mailing address

PO BOX 345
JOSHUA TX
76058-0345
US

V. Phone/Fax

Practice location:
  • Phone: 817-556-5548
  • Fax:
Mailing address:
  • Phone: 817-496-9700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD17500
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberM7422
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberM7422
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: