Provider Demographics
NPI:1457842668
Name:VU-D'ELIA, CINDY (DO)
Entity Type:Individual
Prefix:DR
First Name:CINDY
Middle Name:
Last Name:VU-D'ELIA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 S MAIN ST STE 240
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-5009
Mailing Address - Country:US
Mailing Address - Phone:817-912-8150
Mailing Address - Fax:
Practice Address - Street 1:620 S MAIN ST STE 240
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-5009
Practice Address - Country:US
Practice Address - Phone:817-912-8150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-23
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT2284207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine