Individual
MARCO JOSE DELA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327
(608) 630-1582
Mailing address
7431 SIDEWINDER BEND DR, EL PASO, TX 79911-2250
(608) 630-1582
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101273029
VA
208D00000X
General Practice Physician
Primary
0101273029
VA
Other
Enumeration date
02/07/2020
Last updated
03/30/2026
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