Provider Demographics
NPI:1407850100
Name:DULGHERU, EMILIA C (MD)
Entity Type:Individual
Prefix:DR
First Name:EMILIA
Middle Name:C
Last Name:DULGHERU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 749
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-1614
Mailing Address - Country:US
Mailing Address - Phone:956-362-2400
Mailing Address - Fax:956-362-2404
Practice Address - Street 1:1506 S LONE STAR WAY STE 3
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-4977
Practice Address - Country:US
Practice Address - Phone:956-362-2400
Practice Address - Fax:956-362-2404
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-09
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7361207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX165809805Medicaid
MO215107OtherBLUE CROSS BLUE SHIELD
MO207215203Medicaid