Individual
MR. JEFFREY DELA CRUZ DELA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6550 FANNIN ST, SUITE 1901, HOUSTON, TX 77030-2717
(713) 441-1100
(713) 790-2643
Mailing address
6550 FANNIN ST, SUITE 1901, HOUSTON, TX 77030-2717
(713) 441-1100
(713) 790-2643
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
001933
GA
207R00000X
Internal Medicine Physician
Primary
N3608
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407041395
BLUE CROSS BLUE SHIELD
TX
05
—
206318201
—
TX
Enumeration date
09/13/2007
Last updated
01/22/2010
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