DR. DELISA E GUADARRAMA (NPI# 1356637227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356637227 |
Entity Type | Individual |
Full Name | DR. DELISA E GUADARRAMA |
Credential | MD |
Practice Address |
512 Victoria Ln Ste 13 Harlingen TX 78550-3228 |
Mailing Address |
2102 Treasure Hills Blvd # 3.14406 Harlingen TX 78550-8736 |
Practice Telephone | 9562963821 |
Practice Fax Number | 9562963820 |
Mailing Telephone | 9562961437 |
Mailing Fax Number | 9562966842 |
Enumeration Date | 2011-06-20 |
Last Update Date | 2020-06-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Q7693 | TX | Allopathic & Osteopathic Physicians |
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Q7693 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 3652737-03 | 05 | |
TX | BCBS | H08MN08301 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1901 S 24th Ave, Edinburg, TX 785396533 | 9562897000 |
Street Address |
512 VICTORIA LN STE 13 |
City | HARLINGEN |
State | TX |
Zip Code | 78550-3228 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801884895 | Henry W Weisman | Psychiatry & Neurology | 512 Victoria Ln Ste 13, Harlingen, TX 78550-3228 | 2005-10-12 |
1649626706 | Sason Tavakoli-sabour | Psychiatry & Neurology | 512 Victoria Ln Ste 13, Harlingen, TX 78550-3228 | 2016-05-09 |
1417338286 | Alcides Amador | Specialist | 512 Victoria Ln Ste 13, Harlingen, TX 78550-3228 | 2015-06-17 |
1629217815 | Amanda Naomi Gonzales | Occupational Therapist | 512 Victoria Ln Ste 13, Harlingen, TX 78550-3228 | 2009-02-11 |
1427222140 | Amanda Kay Shewmaker | Dietitian, Registered | 512 Victoria Ln Ste 13, Harlingen, TX 78550-3228 | 2008-04-14 |
1205006582 | Jessica Christiansen | Speech-Language Pathologist | 512 Victoria Ln Ste 13, Harlingen, TX 78550-3228 | 2008-03-03 |
1801903893 | Michael Escamilla | Psychiatry & Neurology | 512 Victoria Ln Ste 13, Harlingen, TX 78550-3228 | 2006-08-24 |
1386757425 | Francisco Fernandez | Psychiatry & Neurology | 512 Victoria Ln Ste 13, Harlingen, TX 78550-3228 | 2006-08-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598378077 | Bruce Dylan Bauer | Pharmacist | 1921 South Sunshine Strip, Harlingen, TX 78550 | 2020-08-25 |
1952920647 | Av Rehab LLC | Skilled Nursing Facility | 2902 S 77 Sunshine Strip, Harlingen, TX 78550 | 2020-04-13 |
1982260105 | Daniella Concha | Student in an Organized Health Care Education/Training Program | 3102 Haine Drive, Apt 411, Harlingen, TX 78550 | 2019-05-13 |
1669036539 | Ayman Khaddam | Student in an Organized Health Care Education/Training Program | 2121 Pease Street, Mob Suite 200, Vbmc - Utrgv Im, Harlingen, TX 78550 | 2019-04-26 |
1104382738 | Abrazos De Jesus Healthcare, LLC | Home Health | 804 N Commerce, Harlingen, TX 78550 | 2019-02-19 |
1912462136 | Deep Sea Dental Pllc | Clinic/Center | 603 South Expressway 83, Suite H2, Harlingen, TX 78550 | 2019-02-01 |
1710442082 | Mary Angela Alexander | Dietitian, Registered | 1740 Christian Cir, Harlingen, TX 78550 | 2019-01-31 |
1376025080 | El Valle Quality Home Care | Technician | 1212 E. Harrison Ave, Suite 136, Harlingen, TX 78550 | 2018-08-30 |
1144717547 | Velma Hughes | Nurse Practitioner | 2424 Riverside Drive, Harlingen, TX 78550 | 2018-04-20 |
1730686494 | Angelica Maria Ortiz | Student in an Organized Health Care Education/Training Program | Utrgv Psychiatry Residency Program, 2102 Treasure Hills Blvd, Harlingen, TX 78550 | 2018-04-10 |
Find all providers in zip 78550 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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1073131686 | Nishan D. Adihetty Md, Pllc | Psychiatry & Neurology | 2219 Sawdust Rd Ste 1004, Spring, TX 77380-2580 | 2020-07-09 |
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1942839113 | Fort Physicians & Professionals Pllc | Psychiatry & Neurology | 7140 Oakmont Boulevard, Fort Worth, TX 76132 | 2020-04-08 |
1720613532 | Ferruzzi Psychiatric Services, Pllc | Psychiatry & Neurology | 13409 Nw Military Hwy Ste 310, Shavano Park, TX 78231-1865 | 2020-03-12 |
1184276818 | Cesar Alejandro Soutullo Esperon | Psychiatry & Neurology | Ut Health, Department of Psychiatry, 1941 East Road, Houston, TX 77054-6010 | 2019-07-12 |
1881255594 | Aditya Sharma, Pllc | Psychiatry & Neurology | 4510 Medical Center Dr Ste 208, Mckinney, TX 75069-1602 | 2019-06-24 |
1154851590 | Stat Md Pllc | Psychiatry & Neurology | 2710 Sunset Strip Ste C, Greenville, TX 75402-3848 | 2017-06-18 |
1336693043 | Cognitive Psychiatry Pa | Psychiatry & Neurology | 1029 Highway 6 N, Ste 650-181, Houston, TX 77079-1043 | 2016-08-10 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.