Provider Demographics
NPI:1336943968
Name:DELGADO, BEATRIZ ADRIANA
Entity type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:ADRIANA
Last Name:DELGADO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 N MOCKINGBIRD CIR
Mailing Address - Street 2:
Mailing Address - City:CEDAR CREEK
Mailing Address - State:TX
Mailing Address - Zip Code:78612-3031
Mailing Address - Country:US
Mailing Address - Phone:512-210-1030
Mailing Address - Fax:
Practice Address - Street 1:102 N MOCKINGBIRD CIR
Practice Address - Street 2:
Practice Address - City:CEDAR CREEK
Practice Address - State:TX
Practice Address - Zip Code:78612-3031
Practice Address - Country:US
Practice Address - Phone:512-210-1030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX213382224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant