Nelson D Destaffany MD PA

NPI #1679561989 in Waco, Texas

Provider Information

NPI Number: 1679561989
Entity Type: Organization
Organization Name: Nelson D Destaffany MD PA
Primary Specialty: Anesthesiology
Enumeration Date: Oct 11, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 405 LONDONDERRY DR
Address 2: SUITE 105
City: Waco
State: Texas
ZIP Code: 76712-7924
Phone: (254) 776-0266

Authorized Official

Name: DR. NELSON D DESTAFFANY, M.D.
Title: PRESIDENT
Phone: (254) 776-0266

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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