Provider Demographics
NPI:1700167368
Name:ALEJANDRO F DELGADO MD PA
Entity Type:Organization
Organization Name:ALEJANDRO F DELGADO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:F
Authorized Official - Last Name:DELGADO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-781-7431
Mailing Address - Street 1:2539 S GESSNER RD STE 6
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-2028
Mailing Address - Country:US
Mailing Address - Phone:713-781-7531
Mailing Address - Fax:713-781-9107
Practice Address - Street 1:2539 S GESSNER RD STE 6
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-2028
Practice Address - Country:US
Practice Address - Phone:713-781-7531
Practice Address - Fax:713-781-9107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-08
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE8427261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1285847822OtherTYPE 1 NPI