Provider Demographics
NPI:1275577322
Name:DELGADO, ALAN EDWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:EDWARD
Last Name:DELGADO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3910
Mailing Address - Street 2:FAIRMONT PARKWAY, SUITE H
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-3066
Mailing Address - Country:US
Mailing Address - Phone:281-487-3999
Mailing Address - Fax:281-487-7433
Practice Address - Street 1:3910 FAIRMONT PARKWAY
Practice Address - Street 2:SUITE H
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-3066
Practice Address - Country:US
Practice Address - Phone:281-487-3999
Practice Address - Fax:281-487-7433
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC2319111N00000X
TX2319111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC06000546Medicaid
TX3525446Medicaid
TXDC2319OtherSTATE LICENSE NUMBER
TXC06000546Medicaid
TXC06000546Medicaid