Provider Demographics
NPI:1891425591
Name:DELGADO, ALEXANDRA (MAT, LAT, ATC)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:DELGADO
Suffix:
Gender:F
Credentials:MAT, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 COUNTY ROAD 3830
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-6940
Mailing Address - Country:US
Mailing Address - Phone:210-872-5046
Mailing Address - Fax:
Practice Address - Street 1:410 COUNTY ROAD 3830
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-6940
Practice Address - Country:US
Practice Address - Phone:210-872-5046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT90272255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer