| Doctor Name: | CRAIG ALLEN DE LORD |
| NPI Number: | 1003870882 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | H4280 |
| Business Practice Address: | 2555 Jimmy Johnson Blvd Port Arthur, TX - 77643 |
| Business Phone Number: | 4098535863 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1888, GREENVILLE |
| State: | TX |
| Postal Code: | 75403 |
| Phone Number: | 8009452455 |
| Fax Number: | 9034532541 |
| NPI Enumeration Date: | 04/17/2006 |
| NPI Last Update Date: | 05/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | H4280 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |