MEDICARE: OVIDIU ADRIAN DULGHERU MD

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	2084P0800X	Psychiatry Physician	2006024402	MO
2	2084P0800X	Psychiatry Physician	N4388	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00929625	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386798957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OVIDIU ADRIAN DULGHERU MD

Provider Business Mailing Address
First Line	:	3111 CENTER POINT DR
Second Line	:	SUITE B
City	:	EDINBURG
State	:	TX
Zip	:	78539-8545
Country	:	US
Telephone Number	:	956-686-3220
Fax Number	:	956-630-0074

Provider Business Practice Location Address
First Line	:	3111 CENTER POINT DR
Second Line	:	SUITE B
City	:	EDINBURG
State	:	TX
Zip	:	78539-8545
Country	:	US
Telephone Number	:	956-686-3220
Fax Number	:	956-630-0074

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

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	08/18/2011

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