Individual
DR. DELISA EVA GUADARRAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2821 MICHAELANGELO DR STE 204, EDINBURG, TX 78539-1423
(956) 362-8290
(956) 362-8295
Mailing address
PO BOX 749, PHARR, TX 78577-1614
(956) 362-8290
(956) 362-8295
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Q7693
TX
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
Q7693
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3652737-03
—
TX
01
—
H08MN08301
BCBS
TX
Enumeration date
06/20/2011
Last updated
03/23/2023
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