Provider Demographics
NPI:1578557468
Name:DELGADO, JOSE G (MD)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:G
Last Name:DELGADO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4214 ANDREWS HWY STE 240
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79703-4817
Mailing Address - Country:US
Mailing Address - Phone:432-221-5971
Mailing Address - Fax:432-221-5981
Practice Address - Street 1:709 W LOUISIANA AVE
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-3248
Practice Address - Country:US
Practice Address - Phone:432-221-3100
Practice Address - Fax:432-221-3121
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2022-09-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL8035207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX164895802Medicaid
I05586Medicare UPIN
TX164895802Medicaid