Organization
DEL RIO TEXAS HEART INSTITUTE & DIABETES CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELE DI BLASI M.D. (OWNER)
(830) 703-8555
Entity
Organization
Contact information
Practice address
3809 VETERANS BLVD, DEL RIO, TX 78840-2860
(830) 703-8555
(830) 703-8334
Mailing address
3809 VETERANS BLVD, DEL RIO, TX 78840-2860
(830) 703-8555
(830) 703-8334
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L7944
TX
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
L7952
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171252301
—
TX
05
—
171255601
—
TX
01
—
8K9390
BLUE CROSS BLUE SHIELD
TX
01
—
8K9391
BLUE CROSS BLUE SHIELD
TX
01
—
P00194362
RRMER
TX
Enumeration date
07/04/2006
Last updated
12/07/2009
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