Organization
HARVEY G VAN DELL, MD, PA, PLLC
Active
Other names
Guy Van Dell, MD, PA ; Flower Mound Women's Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARVEY GUYTON VAN DELL IV M.D. (PHYSICIAN/OWNER)
(972) 899-9787
Entity
Organization
Contact information
Practice address
2980 LONG PRAIRIE RD, SUITE E, FLOWER MOUND, TX 75022-4845
(972) 899-9787
(972) 899-9786
Mailing address
2980 LONG PRAIRIE RD, SUITE E, FLOWER MOUND, TX 75022-4845
(972) 899-9787
(972) 899-9786
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
K8697
TX
367A00000X
Advanced Practice Midwife
536369
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0065MT
BCBS
TX
01
—
10007551
AMERIGROUP
TX
05
—
151884703
—
TX
01
—
180279501
MEDICAID GROUP
TX
01
—
45D1042013
CLIA
TX
01
—
7215354
AETNA
TX
Enumeration date
01/30/2008
Last updated
04/30/2013
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