Provider Demographics
NPI:1649860701
Name:GI CRNA, PLLC
Entity type:Organization
Organization Name:GI CRNA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:DELILLO
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, CRNA, NSPM-C
Authorized Official - Phone:817-966-2762
Mailing Address - Street 1:1805 KINSALE DR
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76262-9023
Mailing Address - Country:US
Mailing Address - Phone:817-966-2762
Mailing Address - Fax:
Practice Address - Street 1:1805 KINSALE DR
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76262-9023
Practice Address - Country:US
Practice Address - Phone:817-966-2762
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-22
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty