Doctor Name: | DALE DELLINGER |
NPI Number: | 1720496300 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RN, CFNP |
License Number: | 624790 |
Business Practice Address: | 1401 State School Rd Gatesville, TX - 765990001 |
Business Phone Number: | 2548658431 |
Business Fax Number: | |
Mailing Address: | 10101 Polo Park Cir, WACO |
State: | TX |
Postal Code: | 767128348 |
Phone Number: | 2546662366 |
Fax Number: | |
NPI Enumeration Date: | 07/28/2014 |
NPI Last Update Date: | 07/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 624790 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |