Michael Dean Dellis, OD | |
1400 East Franklin Street, Hillsboro, TX 76645-0779 | |
(254) 582-2351 | |
(254) 582-7017 |
Full Name | Michael Dean Dellis |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 1400 East Franklin Street, Hillsboro, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417984840 | NPI | - | NPPES |
410019703 | Other | TX | RR MEDICARE |
000000E940 | Other | TX | BCBS |
8F21428 | Other | TX | TRAILBLAZER MEDICARE INDIVIDUAL PTAN |
000000E94D | Other | TX | BCBS |
0934804-01 | Medicaid | TX | |
093480401 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2348TG (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Michael Dean Dellis, OD Po Box 779, Hillsboro, TX 76645-0779 Ph: (254) 582-2351 | Michael Dean Dellis, OD 1400 East Franklin Street, Hillsboro, TX 76645-0779 Ph: (254) 582-2351 |
Dr. Michael Dellis Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1400 E Franklin St, Hillsboro, TX 76645 Phone: 254-582-2351 Fax: 254-582-7017 |