Individual
DR. EMMANUEL AVELINO DELACRUZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2219 SAWDUST RD, UNIT 1203, THE WOODLANDS, TX 77380-2575
(832) 776-1134
(832) 616-3429
Mailing address
2219 SAWDUST RD, UNIT 1203, THE WOODLANDS, TX 77380-2575
(832) 776-1134
(832) 616-3429
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
N0721
TX
208600000X
Surgery Physician
MD27611
OR
2086S0105X
Surgery of the Hand (Surgery) Physician
MD27611
OR
2086S0105X
Surgery of the Hand (Surgery) Physician
MD60016651
WA
2086S0105X
Surgery of the Hand (Surgery) Physician
N0721
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
312313YUR9
MEDICARE PTAN
TX
05
—
340811401
—
TX
Enumeration date
07/24/2007
Last updated
05/10/2016
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