Organization
ALBERTO R DE LA CRUZ MD PA
Active
Parent organization
ALBERTO R DE LA CRUZ MD PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALBERTO R DE LA CRUZ MD PA
Authorized official
DR. ALBERTO R DE LA CRUZ MD (OWNER)
(903) 342-4242
Entity
Organization
Contact information
Practice address
719 W COKE RD, STE.7, WINNSBORO, TX 75494-3011
(903) 342-4242
(903) 342-4055
Mailing address
719 W COKE RD, STE.7, WINNSBORO, TX 75494-3011
(903) 342-4242
(903) 342-4055
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
F7443
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128113102
—
TX
Enumeration date
09/14/2010
Last updated
09/14/2010
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