Provider Demographics
NPI:1417500471
Name:DELGADILLOS, ROBERT HORACIO (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:HORACIO
Last Name:DELGADILLOS
Suffix:
Gender:M
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8042 WURZBACH RD STE 280
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3863
Mailing Address - Country:US
Mailing Address - Phone:210-614-8100
Mailing Address - Fax:210-615-7233
Practice Address - Street 1:8042 WURZBACH RD STE 280
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3863
Practice Address - Country:US
Practice Address - Phone:210-614-8100
Practice Address - Fax:210-615-7233
Is Sole Proprietor?:No
Enumeration Date:2019-07-18
Last Update Date:2020-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX752432163W00000X
TXAP142966363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse