Delta Medical PA

NPI #1073550919 in Burleson, Texas

Provider Information

NPI Number: 1073550919
Entity Type: Organization
Organization Name: Delta Medical PA
Primary Specialty: Internal Medicine
Enumeration Date: May 31, 2006
Last Updated: Apr 8, 2023

Practice Location

Address: 12001 SOUTH FWY
Address 2: SUITE 210
City: Burleson
State: Texas
ZIP Code: 76028-7208
Phone: (817) 293-8797

Authorized Official

Name: KOFOWOROLA EKADI, M.D.
Title: PRESIDENT
Phone: (817) 412-8769

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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