Di Stefano, Alfred

Di Stefano, Alfred is an individual health care provider with primary practice located at 906 W Randol Mill Rd , Arlington TX 76012-2510. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Di Stefano, Alfred can be contacted via phone (817) 261-0929.

Contact Information

Primary practice address
906 W Randol Mill Rd Arlington TX 76012-2510
Phone: (817) 261-0929
Fax: (817) 265-7968
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X E7891 Texas

Profile Details

NPI number 1104828664
LBN Legal business name Di Stefano, Alfred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Sep 18th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104828664 NPPES
Texas MEDICAID 100477204
Texas MEDICAID 100477202
Texas MEDICAID 100477205

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