| Delano S Fabro Jr Do Pa | |
|
6701 Heritage Pkwy Suite 130 Rockwall TX 75087-8747 | |
| (210) 239-1564 | |
| (210) 239-1565 |
| Full Name | Delano S Fabro Jr Do Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 6701 Heritage Pkwy, Rockwall, Texas |
| Authorized Official Name and Position | Delano Soriano Fabro (PRESIDENT) |
| Authorized Official Contact | 2102391564 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Delano S Fabro Jr Do Pa 6701 Heritage Pkwy Suite 130 Rockwall TX 75087-8747 Ph: (210) 239-1564 | Delano S Fabro Jr Do Pa 6701 Heritage Pkwy Suite 130 Rockwall TX 75087-8747 Ph: (210) 239-1564 |
| NPI Number | 1376716837 |
|---|---|
| Provider Enumeration Date | 04/05/2008 |
| Last Update Date | 11/30/2015 |
| Medicare PECOS PAC ID | 0749368918 |
|---|---|
| Medicare Enrollment ID | O20080429000414 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376716837 | NPI | - | NPPES |
| 77WN | Other | TX | BLUE CROSS BLUE SHIELD |
| 313918001 | Medicaid | TX |
| Provider Name | Delano S Fabro |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760604508 PECOS PAC ID: 7214013580 Enrollment ID: I20080326000958 |
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