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NPI Code Detail

MEDICARE: MISS NINA DELACRUZ CCP

MEDICARE:  MISS NINA  DELACRUZ  CCP
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
1171M00000XCase Manager/Care Coordinator
2242T00000XPerfusionistFPF00001242TX

General Provider Information

NPI Number : 1982971081
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS NINA DELACRUZ CCP
Provider Business Mailing Address
First Line : 9814 JOYCE DR
Second Line :
City : IOWA COLONY
State : TX
Zip : 77583-2687
Country : US
Telephone Number : 832-305-5033
Fax Number :
Provider Business Practice Location Address
First Line : 4321 COKE ST
Second Line :
City : HOUSTON
State : TX
Zip : 77020-6359
Country : US
Telephone Number : 832-305-5033
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2011
Last Update Date : 03/29/2026

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Directions to “ MISS NINA DELACRUZ CCP” Practice Location

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