James S Distefano in Bryan - Sports Medicine
James S Distefano - NPI 1457324782
James S Distefano is a Sports Medicine in Bryan, Texas. James S Distefano practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for James S Distefano is 1457324782. The last update date is 2018-10-10.
James S Distefano's current location address is 3201 University Dr E Ste 320, Bryan, Texas. You can contact this provider via phone number 9797045029. The mailing address for James S Distefano is 3201 University Dr E Ste 320, Bryan, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | James S Distefano |
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Address | 3201 University Dr E Ste 320, Bryan, Texas |
Phone Number | 9797045029 |
Fax Number | |
Sole Proprietor | N |
Credentials | DO |
NPI Number Detail
NPI Number | 1457324782 |
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Provider Enumeration Date | 2006-02-08 |
Last Updated Date | 2018-10-10 |
Provider Mailing Address Detail
Address | 3201 University Dr E Ste 320 |
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City | Bryan |
State | Texas (TX) |
Post Code | 778023478 |
Phone Number | 9797045029 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Sports Medicine |
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Taxonomy | 207Ps0010X |
Licence No | M7149 |
Definition: An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
8AH949 | BLUE CROSS |
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What is the James S Distefano's unique identification number?
The James S Distefano has been assigned the NPI (National Provider Identifier) Number 1457324782 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of James S Distefano?
The James S Distefano is physically situated at 3201 University Dr E Ste 320, in the city of Bryan, state of TX, with the postal code 778023478.
What is James S Distefano's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for James S Distefano is Sports Medicine, and the taxonomy code that categorizes this field of expertise is 207Ps0010X.
When did James S Distefano receive its 1457324782 assignment?
The James S Distefano was assigned its 1457324782 on 2006-02-08, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to James S Distefano, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to James S Distefano, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-10-10.
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