Provider Demographics
NPI:1831141993
Name:LA CHINA, IGNAZIO GUISEPPE (MD)
Entity Type:Individual
Prefix:DR
First Name:IGNAZIO
Middle Name:GUISEPPE
Last Name:LA CHINA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5049
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77491-5049
Mailing Address - Country:US
Mailing Address - Phone:713-861-8477
Mailing Address - Fax:713-426-2141
Practice Address - Street 1:13031 WORTHAM CENTER DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-5662
Practice Address - Country:US
Practice Address - Phone:713-861-8477
Practice Address - Fax:713-426-2141
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH7176208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX103245002Medicaid
TX89G538Medicare ID - Type UnspecifiedMEDICARE PROV NUMBER
TXF45882Medicare UPIN