RAFAEL M. DE LA CRUZ MD
Medical Practice at Jefferson St, Brownsville, TX

License number
Texas D3726
Category
Medical Practice
Type
Pediatrics
Owner
Name: DR. RAFAEL MARCOS DE LA CRUZ MD
Title: OWNER
Phone: (956) 544-2420
Address
Address
44 W Jefferson St, Brownsville, TX 78520
National Provider ID: 1407808199
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RAFAEL M. DE LA CRUZ, M.D., PA

23 Creekbend Dr, Brownsville, TX 78521

Status:
Inactive
Registration:
Jun 14, 2000
State ID:
0082139503
Agent:
Rafael M De La Cruz,23 Creekbend Dr, Brownsville, TX 78521 (Physical)
TIN:
32035992679

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