Ignatius Paul Distefano
Anesthesiologist
1500 Citywest Blvd Ste. 300
Houston
, Texas 77042-2300
Ignatius Paul Distefano
Anesthesiologist
1500 Citywest Blvd Ste. 300
Houston
, Texas 77042-2300
(972) 233-3666
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About
Features
Specialties
- Anesthesiologist
Languages spoken
- English
Location
First Address
- Ignatius Paul Distefano
- Po Box 650865
- Dallas, TX
- Zip : 75265-0865
- Fax : (972) 233-3666
- Phone : (972) 233-1999
Second Address
- Ignatius Paul Distefano
- 1500 Citywest Blvd Ste. 300
- Houston, TX
- Zip : 77042-2300
- Fax : (713) 458-4229
- Phone : (713) 620-4000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207L00000X | Anesthesiologist | G1887 | TX |
National Provider Identifier
| NPI | 1013066232 |
|---|---|
| Provider Name | Ignatius Paul Distefano |
| First Address | Dallas, TX 75265-0865 |
| Second Address | Houston, TX 77042-2300 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/01/2007 |
| Last Update Date | 23/02/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 050041650 | RAILROAD MEDICARE (01) | TX |
| 128192503 | (05) | TX |
| 1543781 | (05) | LA |
| 84Y539 | TX-BLUE SHIELD (01) | |
| B22295 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.