Provider Demographics
NPI:1013008721
Name:DELILLO, ROBERT LOUIS (DNP, CRNA, NSPM-C)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:LOUIS
Last Name:DELILLO
Suffix:
Gender:M
Credentials:DNP, CRNA, NSPM-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 SABLE BAY LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76005-1304
Mailing Address - Country:US
Mailing Address - Phone:817-966-2762
Mailing Address - Fax:
Practice Address - Street 1:220 O CONNOR RIDGE BLVD STE 105
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-6573
Practice Address - Country:US
Practice Address - Phone:214-560-2000
Practice Address - Fax:214-560-2555
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX514647367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX88798UOtherBCBS
TX8K8190Medicare PIN
TX88798UOtherBCBS