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General NPI Number Information
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NPI Number | 1821403809
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Entity Type | Individual
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Provider Name | KRISTOPHER GABAS DELA CRUZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/27/2014
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 2400 HIGHWAY 365 STE 108
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City | NEDERLAND
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State | TX
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Zip | 77627-6268
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Country | US
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Telephone | 409-727-2808
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Fax |
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Provider Business Mailing Address
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Address Line | 3712 GULFWAY DR
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City | PORT ARTHUR
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State | TX
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Zip | 77642-2828
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Country | US
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Telephone | 409-332-4300
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Fax | 409-727-5933
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | R1944
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License Number State | TX
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