Provider Demographics
NPI:1356548382
Name:IMPERIAL-AUBIN, DELMAR (RN, MSN, ACNP-C,CCRN)
Entity type:Individual
Prefix:
First Name:DELMAR
Middle Name:
Last Name:IMPERIAL-AUBIN
Suffix:
Gender:F
Credentials:RN, MSN, ACNP-C,CCRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6550 FANNIN ST
Mailing Address - Street 2:SUITE 1401
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2717
Mailing Address - Country:US
Mailing Address - Phone:713-441-5200
Mailing Address - Fax:713-793-7428
Practice Address - Street 1:6550 FANNIN ST
Practice Address - Street 2:SUITE 1401
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2717
Practice Address - Country:US
Practice Address - Phone:713-441-5200
Practice Address - Fax:713-793-7428
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX585703363LA2100X
TXAP115217363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX195818301Medicaid
TX8761NYOtherBCBS
TX8Y2120OtherBLUE CROSS BLUE SHIELD
TXP01302419OtherRR MEDICARE
TX195818303Medicaid
TX195818306Medicaid
TXP00928644OtherMEDICARE RR
TX195818306Medicaid
TXTXB125321Medicare PIN
TX8Y2120OtherBLUE CROSS BLUE SHIELD
TXP01302419OtherRR MEDICARE