Provider Demographics
NPI:1699255919
Name:ONSANDO, IGNATIUS
Entity type:Individual
Prefix:
First Name:IGNATIUS
Middle Name:
Last Name:ONSANDO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2307 SAFFRON LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-3246
Mailing Address - Country:US
Mailing Address - Phone:817-901-1186
Mailing Address - Fax:
Practice Address - Street 1:2307 SAFFRON LN
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-3246
Practice Address - Country:US
Practice Address - Phone:817-901-1186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-16
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX950130163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse