Craig Allen De Lord, MD | |
2555 Jimmy Johnson Blvd, Port Arthur, TX 77643 | |
(409) 853-5863 | |
Not Available |
Full Name | Craig Allen De Lord |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 37 Years |
Location | 2555 Jimmy Johnson Blvd, Port Arthur, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003870882 | NPI | - | NPPES |
132156401 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | H4280 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The Medical Center Of Southeast Texas | Port arthur, TX | Hospital |
Christus Southeast Texas- St Elizabeth | Beaumont, TX | Hospital |
Christus Jasper Memorial Hospital | Jasper, TX | Hospital |
Baptist Beaumont Hospital | Beaumont, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeast Texas Imaging Llp | 3779566906 | 14 |
Entity Name | Southeast Texas Imaging Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346205093 PECOS PAC ID: 3779566906 Enrollment ID: O20040609001101 |
Entity Name | North Star Mri Of Frisco Lp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649356759 PECOS PAC ID: 2769574854 Enrollment ID: O20070821000328 |
Entity Name | North Star Diagnostic Imaging, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467787739 PECOS PAC ID: 8729118021 Enrollment ID: O20100614000182 |
Entity Name | North Star Mri Lp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033174701 PECOS PAC ID: 5890762330 Enrollment ID: O20110524000030 |
Entity Name | North Star Mcd, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063712461 PECOS PAC ID: 2668659434 Enrollment ID: O20110602000702 |
Entity Name | North Star Fm Lp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174812028 PECOS PAC ID: 1153591763 Enrollment ID: O20110908001884 |
Entity Name | North Star Plano Parkway Lp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740601863 PECOS PAC ID: 0244456002 Enrollment ID: O20140731000606 |
Entity Name | North Star Cn Lp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013305945 PECOS PAC ID: 0547589376 Enrollment ID: O20150429001555 |
Entity Name | North Star Fp Lp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033630835 PECOS PAC ID: 6800168576 Enrollment ID: O20170816002017 |
Entity Name | North Star Gv Lp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922512664 PECOS PAC ID: 0648539023 Enrollment ID: O20180110000546 |
Mailing Address | Practice Location Address |
---|---|
Craig Allen De Lord, MD Po Box 1888, Greenville, TX 75403 Ph: (800) 945-2455 | Craig Allen De Lord, MD 2555 Jimmy Johnson Blvd, Port Arthur, TX 77643 Ph: (409) 853-5863 |
Joseph A Nightingale, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77643 Phone: 409-853-5863 | |
Ramon J Garcia, MD Radiology Medicare: Medicare Enrolled Practice Location: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77643 Phone: 409-853-5863 | |
Mariano S Nasser, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77643 Phone: 409-853-5863 | |
Gustavo M Padron, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77643 Phone: 409-853-5863 | |
Arnold O Manske, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77643 Phone: 409-853-5863 | |
Arthur Lee Smith, MD Radiology Medicare: Medicare Enrolled Practice Location: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77643 Phone: 409-853-5863 |