Individual
CRAIG S IGNACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 CITYWEST BLVD STE 300, HOUSTON, TX 77042
(713) 620-4000
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K0070
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116627402
—
TX
01
—
89992N
BCBS
TX
01
—
8X6106
BCBS
TX
Enumeration date
06/04/2006
Last updated
06/01/2018
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