Provider Demographics
NPI:1558803528
Name:DELGADO, JOE CHRIS JR
Entity Type:Individual
Prefix:MR
First Name:JOE
Middle Name:CHRIS
Last Name:DELGADO
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3527 LA RETAMA DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77013-3817
Mailing Address - Country:US
Mailing Address - Phone:281-642-3994
Mailing Address - Fax:
Practice Address - Street 1:3527 LA RETAMA DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77013-3817
Practice Address - Country:US
Practice Address - Phone:281-642-3994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-08
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX769681163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant