Individual
DR. DELANO S FABRO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6701 HERITAGE PKWY, SUITE 130, ROCKWALL, TX 75087-8747
(210) 239-1564
(210) 239-1565
Mailing address
3 LONDON CT, HEATH, TX 75032-6865
(210) 239-1564
(210) 239-1565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M6603
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
M6603
TX
207RP1001X
Pulmonary Disease Physician
Primary
M6603
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
M6603
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255542122
GREATER DALLAS HEALTHCARE ENTERPRISES
TX
01
—
1851695795
GREATER DALLAS HEALTHCARE ENTERPRISES
TX
01
—
1952624074
GREATER DALLAS HEALTHCARE ENTERPRISES
TX
01
—
8CV051
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/02/2007
Last updated
11/30/2015
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