Provider Demographics
NPI:1073114435
Name:DELGADILLO, JORGE AUGUSTO (MSW)
Entity type:Individual
Prefix:
First Name:JORGE
Middle Name:AUGUSTO
Last Name:DELGADILLO
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71025 WP KING ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:FORT CAVAZOS
Mailing Address - State:TX
Mailing Address - Zip Code:76544-1763
Mailing Address - Country:US
Mailing Address - Phone:703-576-2222
Mailing Address - Fax:
Practice Address - Street 1:410 761ST TANK BATTALION AVE
Practice Address - Street 2:
Practice Address - City:FORT CAVAZOS
Practice Address - State:TX
Practice Address - Zip Code:76544-8079
Practice Address - Country:US
Practice Address - Phone:254-288-1560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-03
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker