Provider Demographics
NPI:1053524629
Name:FIGARELLI-EVERETT, DELVALLE ANTONI
Entity type:Individual
Prefix:
First Name:DELVALLE
Middle Name:ANTONI
Last Name:FIGARELLI-EVERETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 E KING AVE
Mailing Address - Street 2:
Mailing Address - City:KINGSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78363-5575
Mailing Address - Country:US
Mailing Address - Phone:361-455-8518
Mailing Address - Fax:
Practice Address - Street 1:203 E KING AVE
Practice Address - Street 2:
Practice Address - City:KINGSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78363-5575
Practice Address - Country:US
Practice Address - Phone:361-455-8518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTXD 14088173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine