Individual
MINI DELASHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12221 MERIT DR, SUITE 1610, DALLAS, TX 75251-2202
(832) 498-6356
Mailing address
12221 MERIT DR, SUITE 1610, DALLAS, TX 75251-2202
(832) 498-6356
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M3515
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182217301
—
TX
05
—
182217302
—
TX
01
—
8V2879
BCBS
TX
01
—
P00364139
RAILROAD
TX
Enumeration date
06/14/2006
Last updated
06/29/2011
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