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Individual

MRS. LACINDY VASHON DELVALLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
400 AUSTIN ST, RICHMOND, TX 77469-4406
(281) 342-4530
Mailing address
400 AUSTIN ST, RICHMOND, TX 77469-4406
(281) 342-4530

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L6391
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
157795901
TX
01
157795902
CSHCN
TX
Enumeration date
09/22/2006
Last updated
11/18/2021
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