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General NPI Number Information
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NPI Number | 1013984558
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Entity Type | Organization
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Legal Business Name | DELACOTERA HEALTH CARE ASSOCIATION
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Dates
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Enumeration Date | 03/03/2006
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 129 VISION PARK BLVD STE 200
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City | SHENANDOAH
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State | TX
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Zip | 77384-3024
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Country | US
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Telephone | 281-248-8872
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Fax | 281-248-8875
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Provider Business Mailing Address
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Address Line | 129 VISION PARK BLVD STE 200
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City | SHENANDOAH
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State | TX
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Zip | 77384-3024
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Country | US
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Telephone | 281-248-8872
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Fax | 281-248-8875
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Authorized Official
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Title or Position | OWNER/ DOCTOR
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Name | RODRIGO DE LA COTERA JULE
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Credential | M.D.
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Telephone | 281-248-8872
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M1621
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License Number State | TX
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