Richard Lawrence Delezene, PA-C
Physician Assistant in Bryan, TX. Individual provider (NPI-1).
NPI number1982724134
StatusActive
Last updated in NPPESMay 27, 2025
Details
- NPI
- 1982724134
- Entity type
- Individual (NPI-1)
- Name
- Richard Lawrence Delezene
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2007
- Certification date
- May 27, 2025
- Last updated
- May 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA05116 | TX | Yes |
Practice location
2010 E Villa Maria Rd Ste ABryan, TX 77802-2583
Phone 979-731-5200 · Fax 979-821-7631
Mailing address
2010 E Villa Maria Rd Ste ABryan, TX 77802-2583
Phone 979-731-5200 · Fax 979-821-7631
Other practice locations
4421 Highway 6 S Ste 100
College Station, TX 77845-6176
College Station, TX 77845-6176
Phone 979-731-5200 · Fax 979-731-5210
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