De Luca, Michael James
De Luca, Michael James is an individual health care provider with primary practice located at 4301 N Mesa St Ste 100 , El Paso TX 79902-1118. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. De Luca, Michael James can be contacted via phone (915) 532-6767.Contact Information
Primary practice address
4301 N Mesa St Ste 100
El Paso TX 79902-1118
Phone: (915) 532-6767
Fax: (915) 532-4023
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | K7010 | Texas |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | K7010 | Texas |
Profile Details
| NPI number | 1053311936 |
|---|---|
| LBN Legal business name | De Luca, Michael James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Jan 24th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053311936 | NPPES |
| Texas | MEDICAID | 161218602 | |
| Texas | MEDICAID | 163383601 |
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