MEDICARE: GABRIELA DELGADO DAZA DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223E0200X	Endodontics	38911	TX

General Provider Information

NPI Number	:	1326663543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELA DELGADO DAZA DDS

Provider Business Mailing Address
First Line	:	19235 KATY FWY STE 300B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77094-1038
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	19235 KATY FWY STE 300B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77094-1038
Country	:	US
Telephone Number	:	281-647-6687
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2020
Last Update Date	:	10/03/2025

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