Provider Demographics
NPI:1649270455
Name:DEL GENOVESE, ANTHONY (NP-C , DC)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:DEL GENOVESE
Suffix:
Gender:M
Credentials:NP-C , DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 S AIRPORT DR
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-6651
Mailing Address - Country:US
Mailing Address - Phone:956-968-0560
Mailing Address - Fax:956-969-0014
Practice Address - Street 1:909 S AIRPORT DR
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6651
Practice Address - Country:US
Practice Address - Phone:956-968-0560
Practice Address - Fax:956-969-0014
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC 9835111N00000X
TX792700363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No111N00000XChiropractic ProvidersChiropractor