Organization Active NPI

Delano S Fabro Jr DO PA

  • Pulmonary Disease Physician
  • Rockwall, TX
National Provider Identifier
1376716837
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
M6603 Issued in TX
Legal business name
DELANO S FABRO JR DO PA
Practice address
6701 Heritage Pkwy
Suite 130
Rockwall, TX 75087-8747
Phone
(210) 239-1564
Fax
(210) 239-1565
NPI assigned
Apr 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Delano Soriano Fabro Jr., D.O.
Title
President
Phone
(210) 239-1564

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X M6603 TX
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X M6603 TX
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X M6603 TX Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X M6603 TX

Addresses

Primary practice location

6701 Heritage Pkwy
Suite 130
Rockwall, TX 75087-8747

Mailing address

6701 Heritage Pkwy
Suite 130
Rockwall, TX 75087-8747
Phone (210) 239-1564

Other identifiers 2

IdentifierTypeStateIssuer
77WNOtherTXBLUE CROSS BLUE SHIELD
313918001MedicaidTX

National Provider Directory

National Provider Directory

Locations

8814 Broadway
San Antonio, TX 78217
Phone (210) 239-1564

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1376716837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 HERITAGE PKWY",
            "address_2": "SUITE 130",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750878747",
            "telephone_number": "210-239-1564",
            "fax_number": "210-239-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 HERITAGE PKWY",
            "address_2": "SUITE 130",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750878747",
            "telephone_number": "210-239-1564",
            "fax_number": "210-239-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELANO S FABRO JR DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-05",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "FABRO",
        "authorized_official_first_name": "DELANO",
        "authorized_official_middle_name": "SORIANO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-239-1564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M6603",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "M6603",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "M6603",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TX",
            "license": "M6603",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "77WN",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "313918001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.