Basic Information
| Provider Information | |||||||||
| NPI: | 1750382420 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DELHAMER | ||||||||
| FirstName: | BRANDT | ||||||||
| MiddleName: | ARRAN | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3803 FM 1092 RD | ||||||||
| Address2: | |||||||||
| City: | MISSOURI CITY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774592209 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2814038271 | ||||||||
| FaxNumber: | 2814038274 | ||||||||
| Practice Location | |||||||||
| Address1: | 1211 HIGHWAY 6 | ||||||||
| Address2: | SUITE 1 | ||||||||
| City: | SUGAR LAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774784941 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2814944832 | ||||||||
| FaxNumber: | 2814947399 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/03/2005 | ||||||||
| LastUpdateDate: | 05/16/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | M1070 | TX | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
ID Information
| ID | Type | State | Issuer | Description | 275196800 | 05 | FL | MEDICAID | P00400196 | 01 | FL | RAILROAD MEDICARE | OTHER | 172813101 | 05 | TX | MEDICAID | 42179 | 01 | FL | BLUE CROSS BLUE SHIELD | OTHER |