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DELTON KEITH GILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
3803 FM 1092 RD, MISSOURI CITY, TX 77459-2209
(281) 403-8271
(281) 403-8274
Mailing address
1211 HIGHWAY 6, SUITE 1, SUGAR LAND, TX 77478-4941
(281) 494-4832
(281) 494-7399

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02776
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8S1110
BCBS
TX
Enumeration date
08/18/2005
Last updated
05/22/2008
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