Individual
HARVEY G VAN DELL IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2980 LONG PRAIRIE RD, SUITE E, FLOWER MOUND, TX 75022-4845
(972) 899-9787
(972) 899-9786
Mailing address
2980 LONG PRAIRIE RD, SUITE E, FLOWER MOUND, TX 75022-4845
(972) 899-9787
(972) 899-9786
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
K8697
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10007551
AMERIGROUP
TX
05
—
151184703
—
TX
01
—
5397424
CIGNA
TX
01
—
7215354
AETNA
TX
01
—
8AJ973
BLUE CROSS AND BLUE SHIELD
TX
Enumeration date
06/20/2005
Last updated
04/30/2013
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