CRAIG ALLEN DE LORD MD NPI 1003870882

Radiology (Diagnostic Radiology) in Port Arthur, TX

About CRAIG DE LORD

Craig De Lord is a provider in Port Arthur, TX with more than 31 years of experience. The NPI number assigned to this provider is 1003870882. The practitioner's primary taxonomy code is Radiology (2085R0202X). The provider is registered as an individual and their NPI record was last updated 10 years ago. Craig De Lord is registered with Medicare and accepts claims assignment.

NPI1003870882 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name CRAIG ALLEN DE LORD MD
Provider Location Address2555 JIMMY JOHNSON BLVD PORT ARTHUR, TX 77643 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 1888 GREENVILLE, TX 75403 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year1987
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-17-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date05-08-2008 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

CRAIG ALLEN DE LORD MD
2555 JIMMY JOHNSON BLVD
PORT ARTHUR, TX
ZIP 77643
Phone: (409) 853-5863
Get Directions

Mailing Address

CRAIG ALLEN DE LORD MD
PO BOX 1888
GREENVILLE, TX
ZIP 75403
Phone: (800) 945-2455
Fax: (903) 453-2541

Primary Taxonomy

Taxonomy Code2085R0202X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationDiagnostic Radiology
License No.H4280
License StateTX
Taxonomy DescriptionA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
132156401MEDICAID (05)TX
E88132MEDICARE UPIN (02)
300046436MEDICARE PIN (08)TX
80430RMEDICARE PIN (08)TX

Map Location


CRAIG ALLEN DE LORD MD address is 2555 JIMMY JOHNSON BLVD PORT ARTHUR, TX 77643

Other Providers at the same location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073577656 JOSEPH A NIGHTINGALE MD
Individual
Radiology (Diagnostic Radiology)2555 JIMMY JOHNSON BLVD
PORT ARTHUR, TX 77643
(409) 853-5863
1255396065 RAMON J GARCIA MD
Individual
Radiology (Diagnostic Radiology)2555 JIMMY JOHNSON BLVD
PORT ARTHUR, TX 77643
(409) 853-5863
1306800982 MARIANO S NASSER MD
Individual
Radiology (Diagnostic Radiology)2555 JIMMY JOHNSON BLVD
PORT ARTHUR, TX 77643
(409) 853-5863
1346205093SOUTHEAST TEXAS IMAGING LLP
Organization
Radiology (Diagnostic Radiology)2555 JIMMY JOHNSON BLVD
PORT ARTHUR, TX 77643
(409) 853-5863
1417911090 GUSTAVO M PADRON MD
Individual
Radiology (Diagnostic Radiology)2555 JIMMY JOHNSON BLVD
PORT ARTHUR, TX 77643
(409) 853-5863
1619932340 ARNOLD O MANSKE MD
Individual
Radiology (Diagnostic Radiology)2555 JIMMY JOHNSON BLVD
PORT ARTHUR, TX 77643
(409) 853-5863
1821052606 ARTHUR LEE SMITH MD
Individual
Radiology (Diagnostic Radiology)2555 JIMMY JOHNSON BLVD
PORT ARTHUR, TX 77643
(409) 853-5863
1912961798 MICHAEL JACK DOIRON MD
Individual
Radiology (Diagnostic Radiology)2555 JIMMY JOHNSON BLVD
PORT ARTHUR, TX 77643
(409) 853-5863