Evernorth Care Providers - Delaware PA

NPI #1033981097 in Irving, Texas

Provider Information

NPI Number
1033981097
Entity Type
Organization
Organization Name
Evernorth Care Providers - Delaware PA
Primary Specialty
General Practice
Enumeration Date
Oct 24, 2023
Last Updated
Nov 17, 2023

Practice Location

Address
320 DECKER DR
City
Irving
State
Texas
ZIP Code
75062-3999
Phone
(773) 292-4800

Authorized Official

Name
GRACE BLUE
Title
CREDENTIALING SR. MANAGER
Phone
(773) 292-4800

Specialties & Taxonomy Codes

Specialty
General Practice

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