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George L Delclos

Internal Medicine

Allopathic & Osteopathic Physicians

6550 Fannin St, Suite #2403, Houston, TX 77030-2717

PECOS Enrollment

This provider is enrolled in PECOS as GEORGE DELCLOS.

Based on the most recent information from CMS, provider George L Delclos is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 8:41 AM.

Profile Details

Provider ID
1215945993
Provider Type
Individual
Full Name
Delclos, George L
Credential
M.D., M.P.H., PH.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
8/4/2006
Last Updated
5/5/2011

Contact Information

Practice Location

6550 Fannin St, Suite #2403, Houston, TX 77030-2717

(713) 790-6250

(713) 793-1538

Mailing Location

6550 Fannin St, Suite #2403, Houston, TX 77030-2717

(713) 790-6250

(713) 793-1538

Provider Taxonomies

Code	Description	License
Code 207RP1001X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License E77178 Texas

George L Delclos

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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