Provider Demographics
NPI:1144489279
Name:DELPEN ENTERPRISES LLC
Entity type:Organization
Organization Name:DELPEN ENTERPRISES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ESMERALDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-787-8700
Mailing Address - Street 1:1039 W FRONTAGE RD STE 1
Mailing Address - Street 2:
Mailing Address - City:ALAMO
Mailing Address - State:TX
Mailing Address - Zip Code:78516
Mailing Address - Country:US
Mailing Address - Phone:956-787-8700
Mailing Address - Fax:956-787-5828
Practice Address - Street 1:1039 W FRONTAGE RD STE 1
Practice Address - Street 2:
Practice Address - City:ALAMO
Practice Address - State:TX
Practice Address - Zip Code:78516
Practice Address - Country:US
Practice Address - Phone:956-787-8700
Practice Address - Fax:956-787-5828
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DELPEN ENTERPRISES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-04
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX123730261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care