Organization
EMMANUEL DELACRUZ MD PLLC
Active
Other names
Emmanuel DeLaCruz MD PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMANUEL A DELACRUZ JR. M.D. (DOCTOR/ OWNER)
(832) 631-6120
Entity
Organization
Contact information
Practice address
9595 SIX PINES DR, SUITE 8210, THE WOODLANDS, TX 77380-1531
(832) 631-6120
(832) 631-6280
Mailing address
9595 SIX PINES DR, SUITE 8210, THE WOODLANDS, TX 77380-1531
(832) 631-6120
(832) 631-6280
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
N0721
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12272826
STATE OF TEXAS- CAQH
TX
01
—
1922208164
STATE OF TEXAS- NPI
TX
01
—
N0721
STATE OF TEXAS-MEDICAL LICENSE NUMBER
TX
Enumeration date
12/28/2011
Last updated
09/11/2012
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