Organization
RAFAEL J DELIZ MD PA
Active
Organization
RAFAEL J DELIZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL J DELIZ M.D. (OWNER)
(956) 220-4597
Entity
Organization
Contact information
Practice address
9114 MC PHERSON RD, STE 2509, LAREDO, TX 78045-6511
(956) 795-1887
(956) 795-1476
Mailing address
9114 MCPHERSON RD, STE 2509, LAREDO, TX 78045-6511
(956) 795-1887
(956) 795-1476
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
N2057
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11136884
CAQH
TX
Enumeration date
08/12/2009
Last updated
01/18/2017
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