Provider Demographics
NPI:1063218816
Name:MCDAVID, DELISA (NP)
Entity type:Individual
Prefix:
First Name:DELISA
Middle Name:
Last Name:MCDAVID
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1401 W WHEELER AVE
Mailing Address - Street 2:
Mailing Address - City:ARANSAS PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78336-4566
Mailing Address - Country:US
Mailing Address - Phone:361-347-9324
Mailing Address - Fax:713-903-3446
Practice Address - Street 1:1401 W WHEELER AVE
Practice Address - Street 2:
Practice Address - City:ARANSAS PASS
Practice Address - State:TX
Practice Address - Zip Code:78336-4566
Practice Address - Country:US
Practice Address - Phone:361-347-9324
Practice Address - Fax:713-903-3446
Is Sole Proprietor?:No
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAG02250024207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine