Active NPI
Delano S Fabro Jr DO PA
- Pulmonary Disease Physician
- Rockwall, TX
National Provider Identifier
1376716837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- M6603
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | M6603 | TX | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | M6603 | TX | |
| Pulmonary Disease Physician | 207RP1001X | M6603 | TX | Primary |
| Sleep Medicine (Internal Medicine) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77WN | Other | TX | BLUE CROSS BLUE SHIELD |
| 313918001 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.