Provider Demographics
NPI:1992024699
Name:REGALADO, NORA G (MD)
Entity type:Individual
Prefix:
First Name:NORA
Middle Name:G
Last Name:REGALADO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NORA
Other - Middle Name:GEORGINA
Other - Last Name:REGALADO VERA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:12373 KNIGHTSBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HORIZON CITY
Mailing Address - State:TX
Mailing Address - Zip Code:79928-3706
Mailing Address - Country:US
Mailing Address - Phone:915-248-2345
Mailing Address - Fax:866-726-3556
Practice Address - Street 1:500 PEYTON HILLS DR STE A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79928-4448
Practice Address - Country:US
Practice Address - Phone:915-248-2345
Practice Address - Fax:866-726-3556
Is Sole Proprietor?:No
Enumeration Date:2010-05-20
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP5716207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine