Healthcare Provider Details

I. General information

NPI: 1306756572
Provider Name (Legal Business Name): DELIA MERCEDES DUCHICELA MPH,MA,CHWI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 S COLLEGE ST
WEIMAR TX
78962-3105
US

IV. Provider business mailing address

1001 ROSE CIR
COLLEGE STATION TX
77840-2327
US

V. Phone/Fax

Practice location:
  • Phone: 979-571-2919
  • Fax:
Mailing address:
  • Phone: 979-571-2919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number118
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: