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Contact Information

ASHLEY B DELACERDA, MD
220 E. HARRIS
SAN ANGELO, TX76903
 Phone: 325-481-2215
 Fax: 325-481-2180
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for ASHLEY B DELACERDA · (Female)

NPI Number 1457644551
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2011
Last updated 12/26/2017 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TX License # Q2892
  • TX Medicaid 346821701
  • TX Other 8FB936 BCBS
  • TX Other 418771YKRY MEDICARE PTAN
Hospital affiliation(s)
  • SHANNON MEDICAL CENTER - (Acute Care)
    120 EAST HARRIS AVENUE
    SAN ANGELO, TX 76903
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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