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Organization
RAFAEL M. DE LA CRUZ MD
Active
Organization
RAFAEL M. DE LA CRUZ MD
Active
Other names
RAFAEL M. DE LA CRUZ PEDIATRIC CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL MARCOS DE LA CRUZ MD (OWNER)
(956) 544-2420
Entity
Organization
Contact information
Practice address
44 W JEFFERSON ST, BROWNSVILLE, TX 78520-6258
(956) 544-2420
(956) 544-2879
Mailing address
44 W JEFFERSON ST, BROWNSVILLE, TX 78520-6258
(956) 544-2420
(956) 544-2879
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D3726
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50016213
DPS
TX
01
—
D3726
STATE LICENSE
TX
Enumeration date
05/17/2006
Last updated
03/07/2023
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