JESSE FRANK DELACRUZ


Address: 21103 Simi Valley Drive, San Antonio, TX 78259
Phone: 3613313940

JESSE FRANK DELACRUZ (NPI# 1699121871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699121871
Entity Type Individual
Full Name JESSE FRANK DELACRUZ
Practice Address 21103 Simi Valley Drive
San Antonio
TX 78259
Practice Telephone 3613313940
Mailing Telephone 3613313940
Enumeration Date 2016-05-06
Last Update Date 2016-05-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
723445 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 21103 SIMI VALLEY DRIVE
City SAN ANTONIO
State TX
Zip Code 78259

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City SAN ANTONIO
Zip Code 78259

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Dataset Information

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.

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