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Organization

DELANO S FABRO JR DO PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DELANO SORIANO FABRO JR. D.O. (PRESIDENT)
(210) 239-1564
Entity
Organization

Contact information

Practice address
6701 HERITAGE PKWY, SUITE 130, ROCKWALL, TX 75087-8747
(210) 239-1564
(210) 239-1565
Mailing address
6701 HERITAGE PKWY, SUITE 130, ROCKWALL, TX 75087-8747
(210) 239-1564
(210) 239-1565

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M6603
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
M6603
TX
207RP1001X
Pulmonary Disease Physician
Primary
M6603
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
M6603
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
313918001
TX
01
77WN
BLUE CROSS BLUE SHIELD
TX
Enumeration date
04/05/2008
Last updated
11/30/2015
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