Provider Demographics
NPI:1538329198
Name:DELASALAS, HAROLD CARIAGA (PHARMD, MD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:CARIAGA
Last Name:DELASALAS
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Gender:M
Credentials:PHARMD, MD
Other - Prefix:
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Mailing Address - Street 1:626 W WHEATLAND RD.
Mailing Address - Street 2:STE B
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75116
Mailing Address - Country:US
Mailing Address - Phone:972-709-6673
Mailing Address - Fax:972-298-8590
Practice Address - Street 1:626 W WHEATLAND RD
Practice Address - Street 2:STE B
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75116-4587
Practice Address - Country:US
Practice Address - Phone:972-709-6673
Practice Address - Fax:972-298-8590
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-16
Last Update Date:2018-01-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXQ0900207R00000X, 207RA0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine