| Richard Lawrence Delezene, PA-C | |
|
2010 E Villa Maria Rd Ste A, Bryan, TX 77802-2583 | |
| (979) 731-5200 | |
| (979) 821-7631 |
| Full Name | Richard Lawrence Delezene |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2010 E Villa Maria Rd Ste A, Bryan, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982724134 | NPI | - | NPPES |
| 8385ND | Other | TX | BCBS PROVIDER ID |
| 198917005 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA05116 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Lawrence Delezene, PA-C 2010 E Villa Maria Rd Ste A, Bryan, TX 77802-2583 Ph: (979) 731-5200 | Richard Lawrence Delezene, PA-C 2010 E Villa Maria Rd Ste A, Bryan, TX 77802-2583 Ph: (979) 731-5200 |
Jill Michelle Whitley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 604 E 27th St, Bryan, TX 77803 Phone: 979-314-1336 Fax: 502-385-6508 |
Mallory P Neill, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3201 University Dr E, Bryan, TX 77802 Phone: 979-207-7400 |
Ava Smith, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8441 State Highway 47 Ste 1400, Bryan, TX 77807 Phone: 979-774-8200 Fax: 877-601-5854 |
Kathryn Gowers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3851 Corporate Center Dr Ste 117, Bryan, TX 77802 Phone: 979-393-0639 |
Mattie Beth Huber, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2801 Franciscan Dr, Bryan, TX 77802 Phone: 979-776-3777 |
Hannah Helm, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2206 E Villa Maria Rd, Bryan, TX 77802 Phone: 979-776-4600 |
Kaylie E Thomas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2801 Franciscan Dr, Bryan, TX 77802 Phone: 979-776-5967 Fax: 979-731-5916 |