Organization Active NPI

Emmanuel Delacruz MD PLLC

  • Plastic Surgery Physician
  • The Woodlands, TX
National Provider Identifier
1528337110
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
N0721 Issued in TX
Legal business name
EMMANUEL DELACRUZ MD PLLC
Doing business as
Emmanuel DeLaCruz MD PLLC
Practice address
9595 Six Pines Dr
Suite 8210
The Woodlands, TX 77380-1531
Phone
(832) 631-6120
Fax
(832) 631-6280
NPI assigned
Dec 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Authorized official

Name
Mr. Emmanuel A Delacruz Jr., M.D.
Title
Doctor/ Owner
Phone
(832) 631-6120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X N0721 TX Primary

Addresses

Primary practice location

9595 Six Pines Dr
Suite 8210
The Woodlands, TX 77380-1531

Mailing address

9595 Six Pines Dr
Suite 8210
The Woodlands, TX 77380-1531
Phone (832) 631-6120

Other identifiers 3

IdentifierTypeStateIssuer
12272826OtherTXSTATE OF TEXAS- CAQH
1922208164OtherTXSTATE OF TEXAS- NPI
N0721OtherTXSTATE OF TEXAS-MEDICAL LICENSE NUMBER

Other names 1

  • Emmanuel DeLaCruz MD PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

2219 Sawdust Rd
Ste 1203
The Woodlands, TX 77380
Phone (832) 776-1134

NPI Registry JSON

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1528337110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9595 SIX PINES DR",
            "address_2": "SUITE 8210",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801531",
            "telephone_number": "832-631-6120",
            "fax_number": "832-631-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9595 SIX PINES DR",
            "address_2": "SUITE 8210",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801531",
            "telephone_number": "832-631-6120",
            "fax_number": "832-631-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL DELACRUZ MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-28",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "DELACRUZ",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR/ OWNER",
        "authorized_official_telephone_number": "832-631-6120",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "N0721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TEXAS- CAQH",
            "identifier": "12272826",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TEXAS- NPI",
            "identifier": "1922208164",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TEXAS-MEDICAL LICENSE NUMBER",
            "identifier": "N0721",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emmanuel DeLaCruz MD PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.