Individual
DR. PASQUALE ROBERT DELIZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5400 KELL WEST BLVD, WICHITA FALLS, TX 76310
(940) 691-8271
(940) 692-2042
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
E7047
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100014190A
—
OK
01
—
138319201
CSHCN
TX
05
—
138319202
—
TX
05
—
138319203
—
TX
05
—
138319204
—
TX
05
—
138319205
—
TX
05
—
138319210
—
TX
01
—
8R1423
BLUE CROSS OF TEXAS
TX
Enumeration date
06/15/2006
Last updated
05/28/2008
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