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Organization
LUIS DELGADO JR MD PA
Active
Organization
LUIS DELGADO JR MD PA
Active
Other names
Northside Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS DELGADO JR. M.D. (PRESIDENT OWNER)
(956) 631-3831
Entity
Organization
Contact information
Practice address
5128 N 10TH ST, MCALLEN, TX 78504-2834
(956) 631-3831
(956) 631-5537
Mailing address
5128 N 10TH ST, MCALLEN, TX 78504-2834
(956) 631-3831
(956) 618-5140
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H4279
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111744202
—
TX
01
—
111744203
MEDICAID EPSDT
TX
05
—
111744204
—
TX
05
—
217464101
—
TX
05
—
217464102
—
TX
01
—
DR8589
RAILROAD MEDICARE
TX
Enumeration date
05/10/2007
Last updated
11/17/2011
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